Compositions and methods for treating cancer with anti-ROR1 immunotherapy

ABSTRACT

Chimeric antigen receptors containing ROR1 antigen binding domains are disclosed. Nucleic acids, recombinant expression vectors, host cells, antigen binding fragments, and pharmaceutical compositions, relating to the chimeric antigen receptors are also disclosed. Methods of treating or preventing cancer in a subject, and methods of making chimeric antigen receptor T cells are also disclosed.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of priority under 35 U.S.C. Section119(e) to U.S. Provisional Patent Application No. 62/581,284 filed onNov. 3, 2017, the entire contents of which are incorporated herein byreference.

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

This invention was created in the performance of a Cooperative Researchand Development Agreement with the National Institutes of Health, anAgency of the Department of Health and Human Services. The Government ofthe United States has certain rights in this invention.

SEQUENCE LISTING

The instant application contains a Sequence Listing which has beensubmitted electronically in ASCII format and is hereby incorporated byreference in its entirety. The ASCII copy, created on Oct. 25, 2018, isnamed SequenceListing.txt and is 90.0 kilobytes in size.

FIELD OF THE DISCLOSURE

This application relates to the field of cancer, particularly to ROR1antigen binding domains and chimeric antigen receptors (CARs) containingsuch ROR1 antigen binding domains and methods of use thereof.

BACKGROUND

Cancer is one of the most deadly threats to human health. In the U.S.alone, cancer affects nearly 1.3 million new patients each year, and isthe second leading cause of death after cardiovascular disease,accounting for approximately 1 in 4 deaths. Solid tumors are responsiblefor most of those deaths. Although there have been significant advancesin the medical treatment of certain cancers, the overall 5-year survivalrate for all cancers has improved only by about 10% in the past 20years. Cancers, or malignant tumors, metastasize and grow rapidly in anuncontrolled manner, making treatment extremely difficult.

There are numerous unmet therapeutic needs in the treatment of solid andliquid tumors. ROR1, receptor tyrosine kinase-like orphan receptor 1, isan embryonic protein that is highly expressed in many cancer types,including CLL, carcinoma of the breast, glioblastoma, lungadenocarcinoma and sarcomas (Ewing sarcoma, osteosarcoma,rhabdomyosarcoma, and fibrosarcoma), and is generally absent in normaltissues (Suping Zhang, et al., 2012, The OncoEmbryonic Antigen ROR1 IsExpressed by a Variety of Human Cancers. Am J Pathol, 181: 1903-1910,Ashwini Balakrishnan, et al., 2017, Analysis of ROR1 Protein Expressionin Human Cancer and Normal Tissues., Clin Cancer Res 23:3061-3071,Borcherding, Nicholas et al., 2017, ROR1, an Embryonic Protein with anEmerging Role in Cancer Biology. Protein & Cell 5.7 (2014): 496-502).ROR1 has three splice variants, including a 104 kDa (up to 120 kDadepending on glycosylation) transmembrane glycoprotein comprised of 937amino acids (1-29 signal peptide), and 2 smaller variants ofintracellular and secreted forms (GeneBank NP_005003, Masiakowski, P.,and Carroll, R. D., 1992, A Novel Family of Cell Surface Receptors withTyrosine Kinase-like Domain, J Biol Chem 36: 26181-26190.). The presenceof ROR1 on the surface of transformed cells indicates that targetingROR1 will enable novel cancer treatments to be developed for a range ofliquid cancer such as chronic lymphocytic leukemia (CLL) and other solidtumors (Borcherding, N., Kusner, D. et al., 2014, ROR1, an embryonicprotein with an emerging role in cancer biology. Protein & Cell,5:496-502).

Though generally absent in adult tissues, at least one report found ROR1expression in parathyroid; pancreatic islets; and regions of theesophagus, stomach, and duodenum (Ashwini Balakrishnan, et al., 2017,Analysis of ROR1 Protein Expression in Human Cancer and Normal Tissues.,Clin Cancer Res 23:3061-3071), warranting caution in clinicalapplication of ROR1-targeted anti-cancer therapies. ROR1 receptorcontains a cytosolic protein kinase domain, which, according to somereports, participates in Wnt and EGFR signaling (Borcherding, N.,Kusner, D. et al., 2014, ROR1, an embryonic protein with an emergingrole in cancer biology. Protein & Cell, 5:496-502). In tumors, ROR1 caninduce epithelial to mesenchymal transition (EMT), and promote tumorproliferation, aggressiveness, and metastases formation, and mediateresistance to apoptosis (Yamaguchi, Tomoya, et al., 2012,“NKX2-1/TITF1/TTF-1-Induced ROR1 is required to sustain EGFR survivalsignaling in lung adenocarcinoma.” Cancer cell 21.3: 348-361;Borcherding, N., Kusner, D. et al., 2014, ROR1, an embryonic proteinwith an emerging role in cancer biology. Protein & Cell, 5:496-502). Itsrole in contributing to tumor phenotype indicates that it may serve animportant function in tumor initiation or progression and therefore is adriver protein.

Earlier approaches in cancer treatment include surgery, radiationtherapy, chemotherapy, and, for blood tumors—bone marrow transplant.However, the present first line treatments warrant further improvement.Such improvements are sought by the novel immunotherapeutic strategies.Ongoing pre-clinical investigations and clinical trials investigatetargeting ROR1 antigen have been developed using multiple modalities. Tlymphocytes expressing ROR1-specific CARs have been tested both inmurine and non-human primate systems (Huang X, Park H, Greene J, Pao J,Mulvey E, Zhou S X, et al., 2015, IGF1R- and ROR1-Specific CAR T Cellsas a Potential Therapy for High Risk Sarcomas. PLoS ONE 10(7): e0133152;Hudecek M, Schmitt T M, Baskar S, Lupo-Stanghellini M T, Nishida T,Yamamoto T N, Bleakley M, Turtle C J, Chang W C, Greisman H A, Wood B,Maloney D G, Jensen M C, Rader C, Riddell S R, 2010, The B-celltumor-associated antigen ROR1 can be targeted with T cells modified toexpress a ROR1-specific chimeric antigen receptor. Blood 116:4532-41.).The lack of toxicity in non-human primates lends confidence that humanstudies can be approached (Berger, C., et al., 2015, Safety of targetingROR1 in primates with chimeric antigen receptor-modified T cells. CancerImmunol Res 3: 2016-216.). Both unmodified, and immunotoxin-linkedantibodies to ROR1 have also been proposed for therapeutic use (Yang,Jiahui, et al., 2011, “Therapeutic potential and challenges of targetingreceptor tyrosine kinase ROR1 with monoclonal antibodies in B-cellmalignancies.” PloS One 6.6: e21018; Baskar, Sivasubramanian, et al.,2012, “Targeting malignant B cells with an immunotoxin against ROR1.”MAbs, 4:3, 349-361.). The present standard of care for B-lineageleukemias may consists of remission induction treatment by high dose ofchemotherapy or radiation, followed by consolidation, and may featurestem cell transplantation and additional courses of chemotherapy asneeded (see the world wide web at cancer.gov). High toxicity associatedwith these treatments, as well as the risk of complications, such asrelapse, secondary malignancy, or GVHD, motivate the search for bettertherapeutic alternatives. Current open clinical trials includeROR1-targeted T cells for hematologic malignancy (Genetically ModifiedT-Cell Therapy in Treating Patients with Advanced ROR1+ Malignancies,NCT02706392, Sponsor: Fred Hutchinson Cancer Research Center,ClinicalTrials.gov accessed Sep. 20, 2017.), and ROR1-specific antibodyfor breast cancer given in the context of chemotherapy (Study ofCircumtuzumab and Paclitaxel for Metastatic or Locally Advanced,Unresectable Breast Cancer, NCT02776917, Sponsor: Barbara Parker, MD,University of California, San Diego, ClinicalTrials.gov accessed Sep.20, 2017).

Chimeric Antigen Receptors (CARs) are hybrid molecules comprising threeessential units: (1) an extracellular antigen-binding motif, (2)linking/transmembrane motifs, and (3) intracellular T-cell signalingmotifs (Long A H, Haso W M, Orentas R J. Lessons learned from ahighly-active CD22-specific chimeric antigen receptor, Oncolmmunology.2013; 2 (4):e23621). The antigen-binding motif of a CAR is commonlyfashioned after a single chain Fragment variable (ScFv), the minimalbinding domain of an immunoglobulin (Ig) molecule. Alternateantigen-binding motifs, such as receptor ligands (i.e., IL-13 has beenengineered to bind tumor expressed IL-13 receptor), intact immunereceptors, library-derived peptides, and innate immune system effectormolecules (such as NKG2D) also have been engineered. Alternate celltargets for CAR expression (such as NK or gamma-delta T cells) are alsounder development (Brown C E et al Clin Cancer Res. 2012;18(8):2199-209; Lehner M et al. PLoS One. 2012; 7 (2):e31210). Thereremains significant work to be done with regard to defining the mostactive T-cell population to transduce with CAR vectors, determining theoptimal culture and expansion techniques, and defining the moleculardetails of the CAR protein structure itself.

The linking motifs of a CAR can be a relatively stable structuraldomain, such as the constant domain of IgG, or designed to be anextended flexible linker. Structural motifs, such as those derived fromIgG constant domains, can be used to extend the ScFv binding domain awayfrom the T-cell plasma membrane surface. This may be important for sometumor targets where the binding domain is particularly close to thetumor cell surface membrane (such as for the disialoganglioside GD2;Orentas et al., unpublished observations). To date, the signaling motifsused in CARs always include the CD3-ζ chain because this core motif isthe key signal for T cell activation. The first reportedsecond-generation CARs featured CD28 signaling domains and the CD28transmembrane sequence. This motif was used in third-generation CARscontaining CD137 (4-1BB) signaling motifs as well (Zhao Y et al JImmunol. 2009; 183 (9): 5563-74). With the advent of new technology, theactivation of T cells with beads linked to anti-CD3 and anti-CD28antibody, and the presence of the canonical “signal 2” from CD28 was nolonger required to be encoded by the CAR itself. Using bead activation,third-generation vectors were found to be not superior tosecond-generation vectors in in vitro assays, and they provided no clearbenefit over second-generation vectors in mouse models of leukemia (HasoW, Lee D W, Shah N N, Stetler-Stevenson M, Yuan C M, Pastan I H,Dimitrov D S, Morgan R A, FitzGerald D J, Barrett D M, Wayne A S,Mackall C L, Orentas R J. Anti-CD22-chimeric antigen receptors targetingB cell precursor acute lymphoblastic leukemia, Blood. 2013; 121(7):1165-74; Kochenderfer J N et al. Blood. 2012; 119 (12):2709-20).This is borne out by the clinical success of CD19-specific CARs that arein a second generation CD28/CD3-ζ (Lee D W et al. American Society ofHematology Annual Meeting. New Orleans, La.; Dec. 7-10, 2013) andCD137/CD3-ζ signaling formats (Porter D L et al. N Engl J Med. 2011; 365(8): 725-33). In addition to CD137, other tumor necrosis factor receptorsuperfamily members such as OX40 also are able to provide importantpersistence signals in CAR-transduced T cells (Yvon E et al. Clin CancerRes. 2009; 15(18):5852-60). Equally important are the culture conditionsunder which the CAR T-cell populations were cultured, for example theinclusion of the cytokines IL-2, IL-7, and/or IL-15 (Kaiser A D et al.Cancer Gene Ther. 2015; 22(2):72-78.

Current challenges in the more widespread and effective adaptation ofCAR therapy for cancer relate to a paucity of compelling targets.Creating binders to cell surface antigens is now readily achievable, butdiscovering a cell surface antigen that is specific for tumor whilesparing normal tissues remains a formidable challenge. One potential wayto imbue greater target cell specificity to CAR-expressing T cells is touse combinatorial CAR approaches. In one system, the CD3-ζ and CD28signal units are split between two different CAR constructs expressed inthe same cell; in another, two CARs are expressed in the same T cell,but one has a lower affinity and thus requires the alternate CAR to beengaged first for full activity of the second (Lanitis E et al. CancerImmunol Res. 2013; 1(1):43-53; Kloss C C et al. Nat Biotechnol. 2013;31(1):71-5). A second challenge for the generation of a singleScFv-based CAR as an immunotherapeutic agent is tumor cellheterogeneity. At least one group has developed a CAR strategy forglioblastoma whereby the effector cell population targets multipleantigens (HER2, IL-13Ra, EphA2) at the same time in the hope of avoidingthe outgrowth of target antigen-negative populations. (Hegde M et al.Mol Ther. 2013; 21(11):2087-101).

T-cell-based immunotherapy has become a new frontier in syntheticbiology; multiple promoters and gene products are envisioned to steerthese highly potent cells to the tumor microenvironment, where T cellscan both evade negative regulatory signals and mediate effective tumorkilling. The elimination of unwanted T cells through the drug-induceddimerization of inducible caspase 9 constructs with chemical-baseddimerizers, such as AP1903, demonstrates one way in which a powerfulswitch that can control T-cell populations can be initiatedpharmacologically (Di Stasi A et al. N Engl J Med. 2011;365(18):1673-83). The creation of effector T-cell populations that areimmune to the negative regulatory effects of transforming growthfactor-β by the expression of a decoy receptor further demonstrates thedegree to which effector T cells can be engineered for optimal antitumoractivity (Foster A E et al. J Immunother. 2008; 31(5):500-5). Thus,while it appears that CARs can trigger T-cell activation in a mannersimilar to an endogenous T-cell receptor, a major impediment to theclinical application of this technology to date has been limited in vivoexpansion of CAR+ T cells, rapid disappearance of the cells afterinfusion, and disappointing clinical activity. This may be due in partto the murine origin of some of the CAR sequences employed.

The requirement of patients who have received either antibody or CAR-Ttherapy to subsequently undergo HSCT in order to maintain durableresponses remains an area of active debate. Although high responses arereported for CD19 CAR-T trials, at least 20% of patients fail in thenear-term (Davis K L, Mackall C L, 2016, Blood Advances 1:265-268). Thebest results at 12 months post-CAR19 treatment reported show a RFS of55% and OS of 79% in patients who were able to receive the T cellproduct at the University of Pennsylvania (Maude S L, Teachey D T,Rheingold S R, Shaw P A, Aplenc R, Barrett D M, Barker C S, Callahan C,Frey N V, Farzana N, Lacey S F, Zheng A, Levine B, Melenhorst J J,Motley L, Prter D L, June C H, Grupp S A, 2016, J Clin Oncol 34,no.15_suppl (May 2016) 3011-3011). Given the expected long termresponses of 50% or less, there remains significant clinical need fornew B cell malignancy targets such as ROR1.

The present invention addresses these needs by providing CARcompositions and therapeutic methods that can be used to treat cancersand other diseases and/or conditions. In particular, the presentinvention as disclosed and described herein provides CARs that may beused for the treatment of diseases, disorders or conditions associatedwith dysregulated expression of ROR1 and which CARs contain ROR1 antigenbinding domains that exhibit a high surface expression on transduced Tcells, exhibit a high degree of cytolysis of ROR1-expressing cells, andin which the transduced T cells demonstrate in vivo expansion andpersistence.

SUMMARY

Novel anti-ROR1 antibodies or antigen binding domains thereof andchimeric antigen receptors (CARs) that contain such ROR1 antigen bindingdomains are provided herein, as well as host cells (e.g., T cells)expressing the receptors, and nucleic acid molecules encoding thereceptors. The CARs exhibit a high surface expression on transduced Tcells, with a high degree of cytolysis, and with transduced T cellexpansion and persistence in vivo. Methods of using the disclosed CARs,host cells, and nucleic acid molecules are also provided, for example,to treat a cancer in a subject.

Thus, in one aspect, an isolated polynucleotide encoding a humananti-ROR1 antibody or a fragment thereof is provided comprising anucleic acid sequence selected from the group consisting of SEQ ID NOs:1 and 7.

In one embodiment, an isolated polynucleotide encoding a fully humananti-ROR1 antibody or a fragment thereof is provided, wherein theantibody or a fragment thereof comprises a fragment selected from thegroup consisting of an Fab fragment, an F(ab′)2 fragment, an Fvfragment, and a single chain Fv (ScFv).

In one embodiment, an isolated polynucleotide encoding a fully humananti-ROR1 antibody or a fragment thereof is provided, wherein theantibody or a fragment thereof comprises an amino acid sequence selectedfrom the group consisting of SEQ ID NOs: 2 and 8.

In one aspect, an isolated nucleic acid molecule encoding a chimericantigen receptor (CAR) is provided comprising, from N-terminus toC-terminus, at least one ROR1 antigen binding domain encoded by anucleotide sequence comprising a nucleic acid sequence selected from thegroup consisting of SEQ ID NOs: 1 and 7, at least one transmembranedomain, and at least one intracellular signaling domain.

In one embodiment, an isolated nucleic acid molecule encoding the CAR isprovided wherein the encoded extracellular ROR1 antigen binding domaincomprises at least one single chain variable fragment of an antibodythat binds to ROR1.

In another embodiment, an isolated nucleic acid molecule encoding theCAR is provided wherein the encoded extracellular ROR1 antigen bindingdomain comprises at least one heavy chain variable region of an antibodythat binds to ROR1.

In yet another embodiment, an isolated nucleic acid molecule encodingthe CAR is provided wherein the encoded CAR extracellular ROR1 antigenbinding domain further comprises at least one lipocalin-based antigenbinding antigen (anticalins) that binds to ROR1.

In one embodiment, an isolated nucleic acid molecule is provided whereinthe encoded extracellular ROR1 antigen binding domain is connected tothe transmembrane domain by a linker domain.

In another embodiment, an isolated nucleic acid molecule encoding theCAR is provided wherein the encoded ROR1 extracellular antigen bindingdomain is preceded by a sequence encoding a leader or signal peptide.

In yet another embodiment, an isolated nucleic acid molecule encodingthe CAR is provided comprising at least one ROR1 antigen binding domainencoded by a nucleotide sequence comprising a nucleic acid sequenceselected from the group consisting of SEQ ID NOs: 1 and 7, and whereinthe CAR additionally encodes an extracellular antigen binding domaintargets an antigen that includes, but is not limited to, CD19, CD20,CD22, mesothelin, CD33, CD38, CD123 (IL3RA), CD138, BCMA (CD269), GPC2,GPC3, FGFR4, c-Met, PSMA, Glycolipid F77, EGFRvIII, GD-2, TSLPR,NY-ESO-1 TCR, MAGE A3 TCR, or any combination thereof.

In certain embodiments, an isolated nucleic acid molecule encoding theCAR is provided wherein the additionally encoded extracellular antigenbinding domain comprises an anti-CD19 ScFv antigen binding domain, ananti-CD20 ScFv antigen binding domain, an anti-CD22 ScFv antigen bindingdomain, an anti-mesothelin ScFv antigen binding domain, an anti-CD33ScFv antigen binding domain, an anti-CD38 ScFv antigen binding domain,an anti-CD123 (IL3RA) ScFv antigen binding domain, an anti-CD138 ScFvantigen binding domain, an anti-BCMA (CD269) ScFv antigen bindingdomain, an anti-GPC2 ScFv antigen binding domain, an anti-GPC3 ScFvantigen binding domain, an anti-FGFR4 ScFv antigen binding domain, ananti-TSLPR ScFv antigen binding domain an anti-c-Met ScFv antigenbinding domain, an anti-PMSA ScFv antigen binding domain, ananti-glycolipid F77 ScFv antigen binding domain, an anti-EGFRvIII ScFvantigen binding domain, an anti-GD-2 ScFv antigen binding domain, ananti-NY-ESO-1 TCR ScFv antigen binding domain, an anti-MAGE A3 TCR ScFvantigen binding domain, or an amino acid sequence with 85%, 90%, 95%,96%, 97%, 98% or 99% identity thereof, or any combination thereof.

In one aspect, the CARs provided herein further comprise a linker orspacer domain.

In one embodiment, an isolated nucleic acid molecule encoding the CAR isprovided wherein the extracellular ROR1 antigen binding domain, theintracellular signaling domain, or both are connected to thetransmembrane domain by a linker (L), hinge (H), or spacer domain.

In one embodiment, an isolated nucleic acid molecule encoding the CAR isprovided wherein the encoded linker domain is derived from theextracellular domain of CD8 or CD28, and is linked to a transmembranedomain.

In another embodiment, an isolated nucleic acid molecule encoding theCAR is provided wherein the encoded CAR further comprises atransmembrane domain that comprises a transmembrane domain of a proteinselected from the group consisting of the alpha, beta or zeta chain ofthe T-cell receptor, CD28, CD3 epsilon, CD45, CD4, CD5, CD8, CD9, CD16,CD22, CD33, CD37, CD64, CD80, CD83, CD86, CD134, CD137 and CD154, or acombination thereof.

In yet another embodiment, an isolated nucleic acid molecule encodingthe CAR is provided wherein the encoded intracellular signaling domainfurther comprises a CD3 zeta intracellular domain.

In one embodiment, an isolated nucleic acid molecule encoding the CAR isprovided wherein the encoded intracellular signaling domain is arrangedon the N-terminal side relative to the CD3 zeta intracellular domain.

In another embodiment, an isolated nucleic acid molecule encoding theCAR is provided wherein the encoded at least one intracellular signalingdomain comprises a costimulatory domain, a primary signaling domain, ora combination thereof.

In further embodiments, an isolated nucleic acid molecule encoding theCAR is provided wherein the encoded at least one costimulatory domaincomprises a functional signaling domain of OX40, CD70, CD27, CD28, CD5,ICAM-1, LFA-1 (CD11a/CD18), ICOS (CD278), DAP10, DAP12, and 4-1BB(CD137), or a combination thereof.

In one embodiment, an isolated nucleic acid molecule encoding the CAR isprovided that further contains a leader sequence or signal peptidewherein the leader or signal peptide (LP) nucleotide sequence comprisesthe nucleotide sequence of SEQ ID NO: 19.

In yet another embodiment, an isolated nucleic acid molecule encodingthe CAR is provided wherein the encoded leader sequence comprises theamino acid sequence of SEQ ID NO: 20.

In one aspect, a chimeric antigen receptor (CAR) is provided hereincomprising, from N-terminus to C-terminus, at least one ROR1 antigenbinding domain, at least one transmembrane domain, and at least oneintracellular signaling domain.

In one embodiment, a CAR is provided wherein the extracellular ROR1antigen binding domain comprises at least one single chain variablefragment of an antibody that binds to the antigen, or at least one heavychain variable region of an antibody that binds to the antigen, or acombination thereof.

In another embodiment, a CAR is provided wherein the at least onetransmembrane domain comprises a transmembrane domain of a proteinselected from the group consisting of the alpha, beta or zeta chain ofthe T-cell receptor, CD28, CD3 epsilon, CD45, CD4, CD5, CD8, CD9, CD16,CD22, CD33, CD37, CD64, CD80, CD86, CD134, CD137, CD154, TNFRSF19, or acombination thereof.

In some embodiments, the CAR is provided wherein CAR additionallyencodes an extracellular antigen binding domain comprising CD19, CD20,CD22, mesothelin, CD33, CD38, CD123 (IL3RA), CD138, BCMA (CD269), GPC2,GPC3, FGFR4, TSLPR, c-Met, PSMA, Glycolipid F77, EGFRvIII, GD-2, TSLPR,NY-ESO-1 TCR, MAGE A3 TCR, or an amino acid sequence with 85%, 90%, 95%,96%, 97%, 98% or 99% identity thereof, or any combination thereof.

In one embodiment, the CAR is provided wherein the extracellular antigenbinding domain comprises an anti-CD19 ScFv antigen binding domain, ananti-CD20 ScFv antigen binding domain, an anti-CD22 ScFv antigen bindingdomain, an anti-mesothelin ScFv antigen binding domain, an anti-CD33ScFv antigen binding domain, an anti-CD38 ScFv antigen binding domain,an anti-CD123 (IL3RA) ScFv antigen binding domain, an anti-CD138 ScFvantigen binding domain, an anti-BCMA (CD269) ScFv antigen bindingdomain, an anti-GPC2 ScFv antigen binding domain, an anti-GPC3 ScFvantigen binding domain, an anti-FGFR4 ScFv antigen binding domain,anti-TSLPR ScFv antigen binding domain, an anti-c-Met ScFv antigenbinding domain, an anti-PMSA ScFv antigen binding domain, ananti-glycolipid F77 ScFv antigen binding domain, an anti-EGFRvIII ScFvantigen binding domain, an anti-GD-2 ScFv antigen binding domain, ananti-NY-ESO-1 TCR ScFv antigen binding domain, an anti-MAGE A3 TCR ScFvantigen binding domain, or an amino acid sequence with 85%, 90%, 95%,96%, 97%, 98% or 99% identity thereof, or any combination thereof.

In another embodiment, a CAR is provided wherein the at least oneintracellular signaling domain comprises a costimulatory domain and aprimary signaling domain.

In yet another embodiment, a CAR is provided wherein the at least oneintracellular signaling domain comprises a costimulatory domaincomprising a functional signaling domain of a protein selected from thegroup consisting of OX40, CD70, CD27, CD28, CD5, ICAM-1, LFA-1(CD11a/CD18), ICOS (CD278), DAP10, DAP12, and 4-1BB (CD137), or acombination thereof.

In one embodiment, the nucleic acid sequence encoding a CAR comprisesthe nucleic acid sequence of SEQ ID NO: 3 (LTG 1941LP-ScFV4-CD8H/CD8TM-41BB-CD3zeta CAR nucleic acid sequence). In oneembodiment, the nucleic acid sequence encodes a CAR comprising the aminoacid sequence of SEQ ID NO: 4 (LTG 1941 LP-ScFv4-CD8H/CD8TM-41BB-CD3zetaCAR amino acid sequence).

In another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 5 (LTG 2528LP-ScFv4-IgG4H/CD8TM-41BB-CD3zeta CAR nucleic acid sequence). In oneembodiment, the nucleic acid sequence encodes a CAR comprising the aminoacid sequence of SEQ ID NO: 6 (LTG 2528 LP-ScFv4-1-IgG4H/CD8TM-41BB-CD3zeta CAR amino acid sequence).

In another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 9 (LTG1942LP-ScFv9-CD8H/CD8TM-41BB-CD3zeta CAR nucleotide sequence). In oneembodiment, the nucleic acid sequence encodes a CAR comprising the aminoacid sequence of SEQ ID NO: 10 (LTG1942 LP-ScFv9-CD8H/CD8TM-41BB-CD3zetaCAR amino acid sequence).

In another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 11 (LTG2529LP-ScFv9-IgG4H/CD8TM-41BB-CD3zeta CAR nucleic acid sequence). In oneembodiment, the nucleic acid sequence encodes a CAR comprising the aminoacid sequence of SEQ ID NO: 12 (LTG2529 LP-ScFv9-IgG4H/CD8TM-41BB-CD3zeta CAR amino acid sequence).

In one aspect, the CARs disclosed herein are modified to express orcontain a detectable marker for use in diagnosis, monitoring, and/orpredicting the treatment outcome such as progression free survival ofcancer patients or for monitoring the progress of such treatment.

In one embodiment, the nucleic acid molecule encoding the disclosed CARscan be contained in a vector, such as a viral vector. The vector is aDNA vector, an RNA vector, a plasmid vector, a cosmid vector, a herpesvirus vector, a measles virus vector, a lentivirus vector, adenoviralvector, or a retrovirus vector, or a combination thereof.

In certain embodiments, the vector further comprises a promoter whereinthe promoter is an inducible promoter, a tissue specific promoter, aconstitutive promoter, a suicide promoter or any combination thereof.

In yet another embodiment, the vector expressing the CAR can be furthermodified to include one or more operative elements to control theexpression of CAR T cells, or to eliminate CAR-T cells by virtue of asuicide switch. The suicide switch can include, for example, anapoptosis inducing signaling cascade or a drug that induces cell death.In a preferred embodiment, the vector expressing the CAR can be furthermodified to express an enzyme such thymidine kinase (TK) or cytosinedeaminase (CD).

In another aspect, host cells including the nucleic acid moleculeencoding the CAR are also provided. In some embodiments, the host cellis a T cell, such as a primary T cell obtained from a subject. In oneembodiment, the host cell is a CD8+ T cell.

In yet another aspect, a pharmaceutical composition is providedcomprising an anti-tumor effective amount of a population of human Tcells, wherein the T cells comprise a nucleic acid sequence that encodesa chimeric antigen receptor (CAR), wherein the CAR comprises at leastone extracellular antigen binding domain comprising a human ROR1 antigenbinding domain comprising the amino acid sequence of SEQ ID NO. 2, or 8,at least one linker domain, at least one transmembrane domain, and atleast one intracellular signaling domain, wherein the T cells are Tcells of a human having a cancer. The cancer includes, inter alia, ahematological cancer such as leukemia (e.g., chronic lymphocyticleukemia (CLL), acute lymphocytic leukemia (ALL), or chronic myelogenousleukemia (CML), lymphoma (e.g., mantle cell lymphoma, non-Hodgkin'slymphoma or Hodgkin's lymphoma) or multiple myeloma, or a combinationthereof.

In one embodiment, a pharmaceutical composition is provided wherein theat least one transmembrane domain of the CAR contains a transmembranedomain of a protein selected from the group consisting of the alpha,beta or zeta chain of the T-cell receptor, CD28, CD3 epsilon, CD45, CD4,CD5, CD8, CD9, CD16, CD22, Mesothelin, CD33, CD37, CD64, CD80, CD83,CD86, CD134, CD137, CD154, TNFRSF19, or a combination thereof.

In another embodiment, a pharmaceutical composition is provided whereinthe human cancer includes an adult carcinoma comprising coral andpharynx cancer (tongue, mouth, pharynx, head and neck), digestive systemcancers (esophagus, stomach, small intestine, colon, rectum, anus,liver, interhepatic bile duct, gallbladder, pancreas), respiratorysystem cancers (larynx, lung and bronchus), bones and joint cancers,soft tissue cancers, skin cancers (melanoma, basal and squamous cellcarcinoma), pediatric tumors (neuroblastoma, rhabdomyosarcoma,osteosarcoma, Ewing's sarcoma), tumors of the central nervous system(brain, astrocytoma, glioblastoma, glioma), and cancers of the breast,the genital system (uterine cervix, uterine corpus, ovary, vulva,vagina, prostate, testis, penis, endometrium), the urinary system(urinary bladder, kidney and renal pelvis, ureter), the eye and orbit,the endocrine system (thyroid), and the brain and other nervous system,or any combination thereof.

In yet another embodiment, a pharmaceutical composition is providedcomprising an anti-tumor effective amount of a population of human Tcells of a human having a cancer wherein the cancer is a refractorycancer non-responsive to one or more chemotherapeutic agents. The cancerincludes hematopoietic cancer, myelodysplastic syndrome pancreaticcancer, head and neck cancer, cutaneous tumors, minimal residual disease(MRD) in acute lymphoblastic leukemia (ALL), acute myeloid leukemia(AML), adult B cell malignancies including, CLL (Chronic lymphocyticleukemia), CML (chronic myelogenous leukemia), non-Hodgkin's lymphoma(NHL), pediatric B cell malignancies (including B lineage ALL (acutelymphocytic leukemia)), multiple myeloma lung cancer, breast cancer,ovarian cancer, prostate cancer, colon cancer, melanoma or otherhematological cancer and solid tumors, or any combination thereof.

In another aspect, methods of making CAR-containing T cells (hereinafter“CAR-T cells”) are provided. The methods include transducing a T cellwith a vector or nucleic acid molecule encoding a disclosed CAR thatspecifically binds ROR1, thereby making the CAR-T cell.

In yet another aspect, a method of generating a population ofRNA-engineered cells is provided that comprises introducing an in vitrotranscribed RNA or synthetic RNA of a nucleic acid molecule encoding adisclosed CAR into a cell of a subject, thereby generating aCAR-expressing cell.

In yet another aspect, a method for diagnosing a disease, disorder orcondition associated with the expression of ROR1 on a cell, is providedcomprising a) contacting the cell with a human anti-ROR1 antibody orfragment thereof, wherein the antibody or a fragment thereof comprisesan amino acid sequence selected from the group consisting of SEQ ID NOs:2, or 8; and b) detecting the presence of ROR1 wherein the presence ofROR1 diagnoses for the disease, disorder or condition associated withthe expression of ROR1.

In one embodiment, the disease, disorder or condition associated withthe expression of ROR1 is cancer including hematopoietic cancer,myelodysplastic syndrome pancreatic cancer, head and neck cancer,cutaneous tumors, minimal residual disease (MRD) in acute lymphoblasticleukemia (ALL), acute myeloid leukemia (AML), adult B cell malignanciesincluding, CLL (Chronic lymphocytic leukemia), CML (chronic myelogenousleukemia), non-Hodgkin's lymphoma (NHL), pediatric B cell malignancies(including B lineage ALL (acute lymphocytic leukemia)), multiple myelomalung cancer, breast cancer, ovarian cancer, prostate cancer, coloncancer, melanoma or other hematological cancer and solid tumors, or anycombination thereof.

In another embodiment, a method of diagnosing, prognosing, ordetermining risk of a ROR1-related disease in a mammal, is providedcomprising detecting the expression of ROR1 in a sample derived from themammal comprising: a) contacting the sample with a human anti-ROR1antibody or fragment thereof, wherein the antibody or a fragment thereofcomprises an amino acid sequence selected from the group consisting ofSEQ ID NOs: 2, or 8; and b) detecting the presence of ROR1 wherein thepresence of ROR1 diagnoses for a ROR1-related disease in the mammal.

In another embodiment, a method of inhibiting ROR1-dependent T cellinhibition, is provided comprising contacting a cell with a humananti-ROR1 antibody or fragment thereof, wherein the antibody or afragment thereof comprises an amino acid sequence selected from thegroup consisting of SEQ ID NOs: 2, or 8. In one embodiment, the cell isselected from the group consisting of a ROR1-expressing tumor cell, atumor-associated macrophage, and any combination thereof.

In another embodiment, a method of blocking T-cell inhibition mediatedby a ROR1-expressing cell and altering the tumor microenvironment toinhibit tumor growth in a mammal, is provided comprising administeringto the mammal an effective amount of a composition comprising anisolated anti-ROR1 antibody or fragment thereof, wherein the antibody ora fragment thereof comprises an amino acid sequence selected from thegroup consisting of SEQ ID NOs: 2, and 8. In one embodiment, the cell isselected from the group consisting of a ROR1-expressing tumor cell, atumor-associated macrophage, and any combination thereof.

In another embodiment, a method of inhibiting, suppressing or preventingimmunosuppression of an anti-tumor or anti-cancer immune response in amammal, is provided comprising administering to the mammal an effectiveamount of a composition comprising an isolated anti-ROR1 antibody orfragment thereof, wherein the antibody or a fragment thereof comprisesan amino acid sequence selected from the group consisting of SEQ ID NOs:2, and 8. In one embodiment, the antibody or fragment thereof inhibitsthe interaction between a first cell with a T cell, wherein the firstcell is selected from the group consisting of a ROR1-expressing tumorcell, a tumor-associated macrophage, and any combination thereof.

In another aspect, a method is provided for inducing an anti-tumorimmunity in a mammal comprising administering to the mammal atherapeutically effective amount of a T cell transduced with vector ornucleic acid molecule encoding a disclosed CAR.

In another embodiment, a method of treating or preventing cancer in amammal is provided comprising administering to the mammal one or more ofthe disclosed CARs, in an amount effective to treat or prevent cancer inthe mammal. The method includes administering to the subject atherapeutically effective amount of host cells expressing a disclosedCAR that specifically binds ROR1 and/or one or more of theaforementioned antigens, under conditions sufficient to form an immunecomplex of the antigen binding domain on the CAR and the extracellulardomain of ROR1 and/or one or more of the aforementioned antigens in thesubject.

In yet another embodiment, a method is provided for treating a mammalhaving a disease, disorder or condition associated with an elevatedexpression of a tumor antigen, the method comprising administering tothe subject a pharmaceutical composition comprising an anti-tumoreffective amount of a population of T cells, wherein the T cellscomprise a nucleic acid sequence that encodes a chimeric antigenreceptor (CAR), wherein the CAR includes at least one extracellular ROR1antigen binding domain comprising the amino acid sequence of SEQ ID NOs.2, and 8, or any combination thereof, at least one linker or spacerdomain, at least one transmembrane domain, at least one intracellularsignaling domain, and wherein the T cells are T cells of the subjecthaving cancer.

In yet another embodiment, a method is provided for treating cancer in asubject in need thereof comprising administering to the subject apharmaceutical composition comprising an anti-tumor effective amount ofa population of T cells, wherein the T cells comprise a nucleic acidsequence that encodes a chimeric antigen receptor (CAR), wherein the CARcomprises at least one ROR1 antigen binding domain comprising the aminoacid sequence of SEQ ID NOs. 2, or 8, or any combination thereof, atleast one linker or spacer domain, at least one transmembrane domain, atleast one intracellular signaling domain, wherein the T cells are Tcells of the subject having cancer. In some embodiments of theaforementioned methods, the at least one transmembrane domain comprisesa transmembrane the alpha, beta or zeta chain of the T-cell receptor,CD28, CD3 epsilon, CD45, CD4, CD5, CD8, CD9, CD16, CD19, CD22,Mesothelin, CD33, CD37, CD64, CD80, CD83, CD86, CD134, CD137, CD154,TNFRSF16, TNFRSF19, or a combination thereof.

In yet another embodiment, a method is provided for generating apersisting population of genetically engineered T cells in a humandiagnosed with cancer. In one embodiment, the method comprisesadministering to a human a T cell genetically engineered to express aCAR wherein the CAR comprises at least one ROR1 antigen binding domaincomprising the amino acid sequence of SEQ ID NOs. 2, or 8, or anycombination thereof, at least one transmembrane domain, and at least oneintracellular signaling domain wherein the persisting population ofgenetically engineered T cells, or the population of progeny of the Tcells, persists in the human for at least one month, two months, threemonths, four months, five months, six months, seven months, eightmonths, nine months, ten months, eleven months, twelve months, twoyears, or three years after administration.

In one embodiment, the progeny T cells in the human comprise a memory Tcell. In another embodiment, the T cell is an autologous T cell.

In all of the aspects and embodiments of methods described herein, anyof the aforementioned cancers, diseases, disorders or conditionsassociated with an elevated expression of a tumor antigen that may betreated or prevented or ameliorated using one or more of the CARsdisclosed herein,

In yet another aspect, a kit is provided for making a chimeric antigenreceptor T-cell as described supra or for preventing, treating, orameliorating any of the cancers, diseases, disorders or conditionsassociated with an elevated expression of a tumor antigen in a subjectas described supra, comprising a container comprising any one of thenucleic acid molecules, vectors, host cells, or compositions disclosedsupra or any combination thereof, and instructions for using the kit.

It will be understood that the CARs, host cells, nucleic acids, andmethods are useful beyond the specific aspects and embodiments that aredescribed in detail herein. The foregoing features and advantages of thedisclosure will become more apparent from the following detaileddescription, which proceeds with reference to the accompanying figures.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 depicts a schematic of the general domain structure of CARs withnovel extracellular ROR1 antigen binding domain sequences. A chimericantigen receptor is composed of an extracellular ROR1-binding ScFvdomain, a spacer or hinge domain (derived from IgG4 or CD8), atransmembrane domain, an intracellular signaling CD137 costimulatorydomain, and a CD3zeta signaling domain.

FIG. 2 depicts anti-ROR1 CAR surface expression in primary human Tcells. CAR T cells redirected to ROR1 tumor antigen via the use of ScFvdomains were generated by lentiviral transduction with CAR expressionconstructs. CART detection was performed by flow cytometry. T cells werewashed twice in cold PBS-EDTA buffer and stained with ROR1-Fc peptidefollowed by fluorescently labeled anti-human-Fc polyclonal F(ab)′2fragment. Cells were gated based on forward scatter and side scatter,singlet discrimination, and 7AAD negativity so that only viable cellswere analyzed. Data were acquired on MACSQuant 10 flow cytometer in theAPC channel. Samples analyzed are listed along the left axis: UTD,un-transduced negative control cells, GFP-LV control transduction,LTG1941 (ScFv4), LTG1942 (ScFv9), and LTG1943 (control-ScFv). Thevertical dotted line denotes the gate for CAR expression and percent CARexpression in each population is listed, CAR % MFI.

FIG. 3 depicts anti-ROR1 CAR T cells incorporating ScFv binders(LTG1941, LTG1942, and LTG1943) mediating cytolysis of ROR1-positivetumors in vitro. CAR T cells expressing anti-ROR1 constructs wereincubated with ROR1-positive cell lines (Jeko-Luc and A431-Luc), orROR1-negative line (Reh-luc), each line is stably transduced withfirefly luciferase, at effector to target ratio (E:T) listed on thex-axis, overnight. CAR T cytotoxic activity was assessed by luciferaseactivity measurement as described in the Materials and Methods.UTD—untransduced T cell negative control, 1538-LTG1538 FMC63 murineanti-CD19 CAR positive control.

FIG. 4 depicts ROR1-specifc CAR T cell production of high levels ofcytokines when co-cultured with the ROR1-positive leukemia line (Jeko,gray, or A432, light gray), or T cells were incubated with non-expressor(Reh) or incubated alone (gray, last column in series). The assay wascarried out overnight at E:T ratio of 10:1, then supernatants wereanalyzed for cytokine concentrations by ELISA. N=2 technicalreplicates+/−SD. Negative controls: UT-un-transduced T cells, LTG1941,LTG1942, LTG1943, anti-ROR1-transduced T cells. LTG1398, GFP-LVtransduced control T cells, as listed on the x-axis.

DETAILED DESCRIPTION

Definitions

As used herein, the singular forms “a,” “an,” and “the,” refer to boththe singular as well as plural, unless the context clearly indicatesotherwise. For example, the term “an antigen” includes single or pluralantigens and can be considered equivalent to the phrase “at least oneantigen.” As used herein, the term “comprises” means “includes.” Thus,“comprising an antigen” means “including an antigen” without excludingother elements. The phrase “and/or” means “and” or “or.” It is furtherto be understood that any and all base sizes or amino acid sizes, andall molecular weight or molecular mass values, given for nucleic acidsor polypeptides are approximate, and are provided for descriptivepurposes, unless otherwise indicated. Although many methods andmaterials similar or equivalent to those described herein can be used,particular suitable methods and materials are described below. In caseof conflict, the present specification, including explanations of terms,will control. In addition, the materials, methods, and examples areillustrative only and not intended to be limiting. To facilitate reviewof the various embodiments, the following explanations of terms areprovided:

The term “about” when referring to a measurable value such as an amount,a temporal duration, and the like, is meant to encompass variations of.+−0.20% or in some instances .+−0.10%, or in some instances .+−0.5%, orin some instances .+−. 1%, or in some instances .+−0.0.1% from thespecified value, as such variations are appropriate to perform thedisclosed methods.

Unless otherwise noted, the technical terms herein are used according toconventional usage. Definitions of common terms in molecular biology canbe found in Benjamin Lewin, Genes VII, published by Oxford UniversityPress, 1999; Kendrew et al. (eds.), The Encyclopedia of MolecularBiology, published by Blackwell Science Ltd., 1994; and Robert A. Meyers(ed.), Molecular Biology and Biotechnology: a Comprehensive DeskReference, published by VCH Publishers, Inc., 1995; and other similarreferences.

The present disclosure provides for ROR1 antibodies or fragments thereofas well as chimeric antigen receptors (CARs) having such ROR1 antigenbinding domains. The enhancement of the functional activity of the CARdirectly relates to the enhancement of functional activity of theCAR-expressing T cell. As a result of one or more of thesemodifications, the CARs exhibit both a high degree of cytokine-inducedcytolysis and cell surface expression on transduced T cells, along withan increased level of in vivo T cell expansion and persistence of thetransduced CAR-expressing T cell.

The unique ability to combine functional moieties derived from differentprotein domains has been a key innovative feature of Chimeric AntigenReceptors (CARs). The choice of each of these protein domains is a keydesign feature, as is the way in which they are specifically combined.Each design domain is an essential component that can be used acrossdifferent CAR platforms to engineer the function of lymphocytes. Forexample, the choice of the extracellular binding domain can make anotherwise ineffective CAR be effective.

The invariable framework components of the immunoglobulin-derivedprotein sequences used to create the extracellular antigen bindingdomain of a CAR can either be entirely neutral, or they canself-associate and drive the T cell to a state of metabolic exhaustion,thus making the therapeutic T cell expressing that CAR far lesseffective. This occurs independently of the antigen binding function ofthis CAR domain. Furthermore, the choice of the intracellular signalingdomain(s) also can govern the activity and the durability of thetherapeutic lymphocyte population used for immunotherapy. While theability to bind target antigen and the ability to transmit an activationsignal to the T cell through these extracellular and intracellulardomains, respectively, are important CAR design aspects, what has alsobecome apparent is that the choice of the source of the extracellularantigen binding fragments can have a significant effect on the efficacyof the CAR and thereby have a defining role for the function andclinical utility of the CAR.

Surprisingly and unexpectedly it has now been discovered that use of anentirely human antigen binding domain in a CAR, rather than usingmouse-derived antigen binding fragments which are prone to induceanti-mouse immune response and CAR T elimination in a host (c.f, theUPenn-sponsored clinical trial using mouse derived SS1 ScFv sequence,NCT02159716), may also determine the functional activity of aCAR-expressing T cell.

In light of this discovery, a series of ROR1 binders from a human scFvexpression library have been developed. These fully-human ROR1 CARs areless likely to induce an allergic or rejection response by the patientas they are no longer of murine origin (see Maus M V, Haas A R, Beatty GL, Albeda S M, Levine B L, Liu X, Zhao Y, Kalos M, June C H, 2013,Cancer Immunology Research, 1:26-31). Thus, when these “fully human”CARs are expressed in T cells and then infused into patients, they arelikely to be more therapeutically effective. These humansequence-derived CAR binders may be used for the treatment of humancancer, leukemias, and lymphomas that express the ROR1 antigen,including; but not limited to, B-CLL, ovarian cancer, triple negativebreast cancer, lung adenocarcinoma, and glioblastoma (Balakrishnan, A.,et al., 2016, Clin Cancer Res, 23:3061-3071; and Baskar, S., et al.,2008, Clin Cancer Res 14:396-404; and Jung, E. H., et al., Cell BiochemFunct, 34:149-157).

The CARs disclosed herein are expressed at a high level in a cell. Acell expressing the CAR has a high in vivo proliferation rate, produceslarge amounts of cytokines, and has a high cytotoxic activity against acell having, on its surface, a ROR1 antigen to which a CAR binds. Theuse of a human extracellular ROR1 antigen-binding domain results ingeneration of a CAR that functions better in vivo, while avoiding theinduction of anti-CAR immunity in the host immune response and thekilling of the CAR T cell population. The CARs expressing the entirelyhuman extracellular ROR1 ScFv antigen-binding domain exhibit superioractivities/properties including i) prevention of poor CAR T persistenceand function as seen with mouse-derived binding sequences; ii) lack ofregional (i. e. intrapleural) delivery of the CAR to be efficacious; andiii) ability to generate CAR T cell designs based both on binders withhigh and low affinity to ROR1. This latter property allows investigatorsto better tune efficacy vs toxicity, and/or tissue specificity of theCAR T product, since lower-affinity binders may have higher specificityto tumors vs normal tissues due to higher expression of ROR1 on tumorsthan normal tissue, which may prevent on-target off tumor toxicity andbystander cell killing.

What follows is a detailed description of the inventive CARs including adescription of their extracellular ROR1 antigen binding domain, thetransmembrane domain and the intracellular domain, along with additionaldescription of the CARs, antibodies and antigen binding fragmentsthereof, conjugates, nucleotides, expression, vectors, and host cells,methods of treatment, compositions, and kits employing the disclosedCARs.

A. Chimeric Antigen Receptors (CARs)

The CARs disclosed herein comprise at least one ROR1 antigen bindingdomain capable of binding to ROR1, at least one transmembrane domain,and at least one intracellular domain.

A chimeric antigen receptor (CAR) is an artificially constructed hybridprotein or polypeptide containing the antigen binding domains of anantibody (e.g., single chain variable fragment (ScFv)) linked to T-cellsignaling domains via the transmembrane domain. Characteristics of CARsinclude their ability to redirect T-cell specificity and reactivitytoward a selected target in a non-MHC-restricted manner, and exploitingthe antigen-binding properties of monoclonal antibodies. Thenon-MHC-restricted antigen recognition gives T cells expressing CARs theability to recognize antigen independent of antigen processing, thusbypassing a major mechanism of tumor escape. Moreover, when expressed inT-cells, CARs advantageously do not dimerize with endogenous T cellreceptor (TCR) alpha and beta chains.

As disclosed herein, the intracellular T cell signaling domains of theCARs can include, for example, a T cell receptor signaling domain, a Tcell costimulatory signaling domain, or both. The T cell receptorsignaling domain refers to a portion of the CAR comprising theintracellular domain of a T cell receptor, such as, for example, and notby way of limitation, the intracellular portion of the CD3 zeta protein.The costimulatory signaling domain refers to a portion of the CARcomprising the intracellular domain of a costimulatory molecule, whichis a cell surface molecule other than an antigen receptor or theirligands that are required for an efficient response of lymphocytes toantigen.

1. Extracellular Domain

In one embodiment, the CAR comprises a target-specific binding elementotherwise referred to as an antigen binding domain or moiety. The choiceof domain depends upon the type and number of ligands that define thesurface of a target cell. For example, the antigen binding domain may bechosen to recognize a ligand that acts as a cell surface marker ontarget cells associated with a particular disease state. Thus examplesof cell surface markers that may act as ligands for the antigen bindingdomain in the CAR include those associated with viral, bacterial andparasitic infections, autoimmune disease and cancer cells.

In one embodiment, the CAR can be engineered to target a tumor antigenof interest by way of engineering a desired antigen binding domain thatspecifically binds to an antigen on a tumor cell. Tumor antigens areproteins that are produced by tumor cells that elicit an immuneresponse, particularly T-cell mediated immune responses. The selectionof the antigen binding domain will depend on the particular type ofcancer to be treated. Tumor antigens include, for example, aglioma-associated antigen, carcinoembryonic antigen (CEA), .beta.-humanchorionic gonadotropin, alphafetoprotein (AFP), lectin-reactive AFP,thyroglobulin, RAGE-1, MN-CA IX, human telomerase reverse transcriptase,RU1, RU2 (AS), intestinal carboxyl esterase, mut hsp70-2, M-CSF,prostase, prostate-specific antigen (PSA), PAP, NY-ESO-1, LAGE-1a, p53,prostein, PSMA, Her2/neu, survivin and telomerase, prostate-carcinomatumor antigen-1 (PCTA-1), MAGE, ELF2M, neutrophil elastase, ephrinB2,CD20, CD22, ROR1, insulin growth factor (IGF)-I, IGF-II, IGF-I receptorand CD19. The tumor antigens disclosed herein are merely included by wayof example. The list is not intended to be exclusive and furtherexamples will be readily apparent to those of skill in the art.

In one embodiment, the tumor antigen comprises one or more antigeniccancer epitopes associated with a malignant tumor. Malignant tumorsexpress a number of proteins that can serve as target antigens for animmune attack. These molecules include, but are not limited to,tissue-specific antigens such as MART-1, tyrosinase and GP 100 inmelanoma and prostatic acid phosphatase (PAP) and prostate-specificantigen (PSA) in prostate cancer. Other target molecules belong to thegroup of transformation-related molecules such as the oncogeneHER-2/Neu/ErbB-2. Yet another group of target antigens are onco-fetalantigens such as carcinoembryonic antigen (CEA). In B-cell lymphoma thetumor-specific idiotype immunoglobulin constitutes a trulytumor-specific immunoglobulin antigen that is unique to the individualtumor. B-cell differentiation antigens such as CD19, CD20, CD22, BCMA,ROR1, and CD37 are other candidates for target antigens in B-celllymphoma. Some of these antigens (CEA, HER-2, CD19, CD20, idiotype) havebeen used as targets for passive immunotherapy with monoclonalantibodies with limited success.

In one preferred embodiment, the tumor antigen is ROR1 and the tumorsassociated with expression of ROR1 comprise lung mesothelioma, ovarian,and pancreatic cancers that express high levels of the extracellularprotein ROR1, or any combination thereof.

The type of tumor antigen may also be a tumor-specific antigen (TSA) ora tumor-associated antigen (TAA). A TSA is unique to tumor cells anddoes not occur on other cells in the body. A TAA is not unique to atumor cell and instead is also expressed on a normal cell underconditions that fail to induce a state of immunologic tolerance to theantigen. The expression of the antigen on the tumor may occur underconditions that enable the immune system to respond to the antigen. TAAsmay be antigens that are expressed on normal cells during fetaldevelopment when the immune system is immature and unable to respond orthey may be antigens that are normally present at extremely low levelson normal cells but which are expressed at much higher levels on tumorcells.

Non-limiting examples of TSAs or TAAs include the following:Differentiation antigens such as MART-1/MelanA (MART-I), gp100 (Pmel17), tyrosinase, TRP-1, TRP-2 and tumor-specific multi-lineage antigenssuch as MAGE-1, MAGE-3, BAGE, GAGE-1, GAGE-2, p15; overexpressedembryonic antigens such as CEA; overexpressed oncogenes and mutatedtumor-suppressor genes such as p53, Ras, HER-2/neu; unique tumorantigens resulting from chromosomal translocations; such as BCR-ABL,E2A-PRL, H4-RET, IGH-IGK, MYL-RAR; and viral antigens, such as theEpstein Barr virus antigens EBVA and the human papillomavirus (HPV)antigens E6 and E7. Other large, protein-based antigens include TSP-180,MAGE-4, MAGE-5, MAGE-6, RAGE, NY-ESO, p185erbB2, p180erbB-3, c-met,nm-23H1, PSA, TAG-72, CA 19-9, CA 72-4, CAM 17.1, NuMa, K-ras,beta-Catenin, CDK4, Mum-1, p 15, p 16, 43-9F, 5T4, 791Tgp72,alphafetoprotein, beta-HCG, BCA225, BTAA, CA 125, CA 15-3\CA 27.29\BCAA,CA 195, CA 242, CA-50, CAM43, CD68\P1, CO-029, FGF-5, G250, Ga733\EpCAM,HTgp-175, M344, MA-50, MG7-Ag, MOV18, NB/70K, NY-CO-1, RCAS1, SDCCAG16,TA-90\Mac-2 binding protein\cyclophilin C-associated protein, TAAL6,TAG72, TLP, and TPS.

In one embodiment, the antigen binding domain portion of the CAR targetsan antigen that includes but is not limited to CD19, CD20, CD22, ROR1,CD33, CD38, CD123, CD138, BCMA, c-Met, PSMA, Glycolipid F77, EGFRvIII,GD-2, FGFR4, TSLPR, NY-ESO-1 TCR, MAGE A3 TCR, and the like.

In a preferred embodiment, the antigen binding domain portion of the CARtargets the extracellular ROR1 antigen.

In one preferred embodiment, the isolated nucleic acid molecule encodingthe extracellular ROR1 binding domain scFv4 comprises a nucleotidesequence of SEQ ID NO: 1, or a sequence with 85%, 90%, 95%, 96%, 97%,98% or 99% identity thereof. In one embodiment, an isolated nucleic acidmolecule is provided wherein the encoded extracellular ROR1 antigenbinding domain scFv4 comprises an amino acid sequence of SEQ ID NO: 2,or an amino acid sequence with 85%, 90%, 95%, 96%, 97%, 98% or 99%identity to an amino acid sequence of SEQ ID NO: 2.

In one preferred embodiment, the isolated nucleic acid molecule encodingthe extracellular ROR1 antigen binding domain ScV9 comprises anucleotide sequence of SEQ ID NO: 7, or a sequence with 85%, 90%, 95%,96%, 97%, 98% or 99% identity thereof. In one embodiment, an isolatednucleic acid molecule is provided wherein the encoded extracellular ROR1antigen binding domain ScFv9 comprises an amino acid sequence of SEQ IDNO: 8, or an amino acid sequence with 85%, 90%, 95%, 96%, 97%, 98% or99% identity to an amino acid sequence of SEQ ID NO: 8.

In one preferred embodiment, the isolated nucleic acid molecule encodingthe extracellular ROR1 control ScFv antigen binding domain comprises anucleotide sequence of SEQ ID NO: 13, or a sequence with 85%, 90%, 95%,96%, 97%, 98% or 99% identity thereof. In one embodiment, an isolatednucleic acid molecule is provided wherein the encoded extracellular ROR1control ScFv antigen binding domain comprises an amino acid sequence ofSEQ ID NO: 14, or an amino acid sequence with 85%, 90%, 95%, 96%, 97%,98% or 99% identity to an amino acid sequence of SEQ ID NO: 14.

In the various embodiments of the ROR1-specific CARs disclosed herein,the general scheme is set forth in FIG. 1 and includes, from theN-terminus to the C-terminus, a signal or leader peptide, anti-ROR1ScFv, extracellular linker or hinge (H) domain, transmembrane (TM)domain, 4-1BB, CD3 zeta, wherein the bolded text represents the cloningsites for linking domains.

In one embodiment, the nucleic acid sequence encoding a CAR comprisesthe nucleic acid sequence of SEQ ID NO: 3, and encodes the CARcomprising the amino acid sequence as set forth in SEQ ID NO: 4 [LTG1941LP-ScFv4-CD8H/CD8TM-41BB-CD3zeta amino acid sequence].

In one embodiment, the nucleic acid sequence encoding a CAR comprisesthe nucleic acid sequence of SEQ ID NO: 3, or a sequence with 85%, 90%,95%, 96%, 97%, 98% or 99% identity thereof, and encodes the CARcomprising the amino acid sequence as set forth in SEQ ID NO: 4 or asequence with 85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereofLTG1941 LP-ScFv4-CD8H/CD8TM-41 BB-CD3 zeta amino acid sequence].

In another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 5, and encodes the CARcomprising the amino acid sequence as set forth in SEQ ID NO: 6 [LTG2528LP-ScFv4-IgG4H/CD8TM-41BB-CD3zeta amino acid sequence].

In another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 5 or a sequence with85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 6 or asequence with 85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof[LTG2528 LP-ScFv4-CD8H/CD8TM-41BB-CD3zeta amino acid sequence].

In another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 9, and encodes the CARcomprising the amino acid sequence as set forth in SEQ ID NO: 10 LTG1942LP-ScFv9-CD8H/CD8TM-41BB-CD3zeta CAR amino acid sequence].

In another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 9 or a sequence with85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 10 ora sequence with 85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof[LTG1942 LP-ScFv9-CD8H/CD8TM-41BB-CD3zeta CAR amino acid sequence].

In yet another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 11, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 12[LTG2529 LP-ScFv9-IgG4H/CD8TM-41BB-CD3zeta amino acid sequence].

In yet another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 11 or a sequence with85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 12 ora sequence with 85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof[LTG2529 LP-ScFv9-IgG4H/CD8TM-41BB-CD3zeta amino acid sequence].

In yet another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 15, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 16[LTG1943 LP-controlScFv-CD8H/CD8TM-41BB-CD3zeta amino acid sequence].

In yet another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 15 or a sequence with85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 16 ora sequence with 85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof[LTG1943 LP-controlScFv-CD8H/CD8TM-41BB-CD3zeta amino acid sequence].

In yet another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 17, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 18[(LTG2527 LP-controlScFv-IgG4H/CD8TM-41BB-CD3zeta amino acid sequence].

In yet another embodiment, the nucleic acid sequence encoding a CARcomprises the nucleic acid sequence of SEQ ID NO: 17 or a sequence with85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof, and encodes theCAR comprising the amino acid sequence as set forth in SEQ ID NO: 18 ora sequence with 85%, 90%, 95%, 96%, 97%, 98% or 99% identity thereof[LTG2527 LP-controlScFv-IgG4H/CD8TM-41BB-CD3zeta amino acid sequence].

The surface expression of anti-ROR1 CARs incorporating single chainfragment variable (ScFv) sequences reactive with ROR1 antigen, is shownin Example 2 infra and summarized in Table 2. The expression level foreach ScFv-containing CAR was determined by flow cytometric analysis ofLV-transduced T cells from healthy donors using a recombinant ROR1-Fcpeptide, followed by anti-human Fc F(ab′)2 fragment conjugated to AF647,and detected in the APC channel, (c.f, FIG. 2). The ScFv-based anti-ROR1CAR constructs LTG1941, LTG1942-LTG1943 were highly expressed in humanprimary T cells (as indicated by the gated population) as compared tonon-transduced T cell controls (non-gated cell population).Representative results from one donor are shown.

As shown in Example 2 and FIG. 3, high cytolytic activity of the ROR1CARs was demonstrated when lentiviral vectors (LV) expressing thefollowing CARs were created and tested for anti-leukemia activity. Eachexperimental CAR contains the 4-1BB/CD3-zeta chain signaling motif andthe specific anti-ROR1 binding motif/domain noted therein. Leukemiatarget lines with ROR1 surface expression were used: Jeko and A431; andROR1 negative Reh. ScFv-based anti-ROR1 CAR constructs LTG1941, LTG1942,and LTG1943 were able to efficiently lyse A431, whereas they had nospecific lytic activity against Reh, (c.f, FIG. 3). The ability to lyseJeko by anti-ROR1 CARs LTG1941 and LTG1942 differed, indicatingdifferential biological activity. These results demonstrate theefficiency and specificity of the generated CAR constructs.

The capacity of anti-ROR1 CAR T cells for cytokine secretion was thenevaluated. Tumor cells were co-incubated with CAR T cells or control Tcells at effector to target ratio of 10:1 overnight, and culturesupernatants were analyzed by ELISA for IFN gamma, TNF alpha and IL-2(c.f., FIG. 4). Of note, CAR T-expressing cells LTG1942 and LTG1943generated high levels of IFN gamma, and LTG1941 generated moderateamounts of IFN-gamma only in response to Jeko, but not the A431 leukemiacell line. A similar result was seen for IL-2 and TNF-alpha expression.Negative controls (untransduced T cells, UN, or T cells transduced withthe control LTG1398 LV) yielded no appreciable cytokine induction.Importantly, the results seen in cytolytic and cytokine functionhighlight that LTG1942 performs similarly to the control ScFv-bearingCAR, LTG1943, whereas LTG1941 has much lower cytokine production andability to lyse the Jeko leukemia cell line. Nevertheless, the abilityto lyse A431 by LTG1941 indicates that we have a differentiated productthat may be preferred if LTG1942 proves to active or too toxic inclinical studies of CAR-T.

Without being intended to limit to any particular mechanism of action,it is believed that possible reasons for the enhanced therapeuticfunction associated with the exemplary CARs of the invention include,for example, and not by way of limitation, a) improved lateral movementwithin the plasma membrane allowing for more efficient signaltransduction, b) superior location within plasma membrane microdomains,such as lipid rafts, and greater ability to interact with transmembranesignaling cascades associated with T cell activation, c) superiorlocation within the plasma membrane by preferential movement away fromdampening or down-modulatory interactions, such as less proximity to orinteraction with phosphatases such as CD45, and d) superior assemblyinto T cell receptor signaling complexes (i.e. the immune synapse), orany combination thereof.

While the disclosure has been illustrated with an exemplaryextracellular ROR1 ScFv antigen binding domains, other nucleotide and/oramino acid variants within the ROR1 variable ScFv antigen bindingdomains may be used to derive heavy-chain only binding domains, orsubsets thereof, and thus comprise the ROR1 antigen binding domains foruse in the CARs described herein.

Depending on the desired antigen to be targeted, the CAR can beadditionally engineered to include the appropriate antigen bindingdomain that is specific to the desired antigen target. For example, ifROR1 is the desired antigen that is to be targeted, an antibody for ROR1can be used as the antigen bind domain incorporation into the CAR.

In one exemplary embodiment, the antigen binding domain portion of theCAR additionally targets CD33. Preferably, the antigen binding domain inthe CAR is anti-CD33 ScFv, wherein the nucleic acid sequence of theanti-CD33 ScFv comprises the sequence set forth in SEQ ID NO: 34. In oneembodiment, the anti-CD33 ScFv comprises the nucleic acid sequence thatencodes the amino acid sequence of SEQ ID NO: 35. In another embodiment,the anti-CD33 ScFv portion of the CAR comprises the amino acid sequenceset forth in SEQ ID NO: 35.

In one exemplary embodiment, the antigen binding domain portion of theCAR additionally targets mesothelin. Preferably, the antigen bindingdomain in the CAR is anti-mesothelin ScFv, wherein the nucleic acidsequence of the anti-mesothelin ScFv comprises the sequence set forth inSEQ ID NO: 36. In one embodiment, the anti-mesothelin ScFv comprises thenucleic acid sequence that encodes the amino acid sequence of SEQ ID NO:37. In another embodiment, the anti-mesothelin ScFv portion of the CARcomprises the amino acid sequence set forth in SEQ ID NO: 37.

In one exemplary embodiment, the antigen binding domain portion of theCAR additionally targets CD19. Preferably, the antigen binding domain inthe CAR is anti-CD19 ScFv, wherein the nucleic acid sequence of theanti-mesothelin ScFv comprises the sequence set forth in SEQ ID NO: 32.In one embodiment, the anti-mesothelin ScFv comprises the nucleic acidsequence that encodes the amino acid sequence of SEQ ID NO: 33. Inanother embodiment, the anti-CD19 ScFv portion of the CAR comprises theamino acid sequence set forth in SEQ ID NO: 33.

In one aspect of the present invention, there is provided a CAR capableof binding to a non-TSA or non-TAA including, for example and not by wayof limitation, an antigen derived from Retroviridae (e.g. humanimmunodeficiency viruses such as HIV-1 and HIV-LP), Picomaviridae (e.g.poliovirus, hepatitis A virus, enterovirus, human coxsackievirus,rhinovirus, and echovirus), rubella virus, coronavirus, vesicularstomatitis virus, rabies virus, ebola virus, parainfluenza virus, mumpsvirus, measles virus, respiratory syncytial virus, influenza virus,hepatitis B virus, parvovirus, Adenoviridae, Herpesviridae [e.g. type 1and type 2 herpes simplex virus (HSV), varicella-zoster virus,cytomegalovirus (CMV), and herpes virus], Poxviridae (e.g. smallpoxvirus, vaccinia virus, and pox virus), or hepatitis C virus, or anycombination thereof.

In another aspect of the present invention, there is provided a CARcapable of binding to an antigen derived from a bacterial strain ofStaphylococci, Streptococcus, Escherichia coli, Pseudomonas, orSalmonella. Particularly, there is provided a CAR capable of binding toan antigen derived from an infectious bacterium, for example,Helicobacter pyloris, Legionella pneumophilia, a bacterial strain ofMycobacteria sps. (e.g. M. tuberculosis, M. avium, M. intracellulare, M.kansaii, or M. gordonea), Staphylococcus aureus, Neisseria gonorrhoeae,Neisseria meningitides, Listeria monocytogenes, Streptococcus pyogenes,Group A Streptococcus, Group B Streptococcus (Streptococcus agalactiae),Streptococcus pneumoniae, or Clostridium tetani, or a combinationthereof.

2. Transmembrane Domain

With respect to the transmembrane domain, the CAR comprises one or moretransmembrane domains fused to the extracellular ROR1 antigen bindingdomain of the CAR.

The transmembrane domain may be derived either from a natural or from asynthetic source. Where the source is natural, the domain may be derivedfrom any membrane-bound or transmembrane protein.

Transmembrane regions of particular use in the CARs described herein maybe derived from (i.e. comprise at least the transmembrane region(s) of)the alpha, beta or zeta chain of the T-cell receptor, CD28, CD3 epsilon,CD45, CD4, CD5, CD8, CD9, CD16, CD22, mesothelin, CD33, CD37, CD64,CD80, CD83, CD86, CD134, CD137, CD154, TNFRSF16, or TNFRSF19.Alternatively the transmembrane domain may be synthetic, in which caseit will comprise predominantly hydrophobic residues such as leucine andvaline. Preferably a triplet of phenylalanine, tryptophan and valinewill be found at each end of a synthetic transmembrane domain.Optionally, a short oligo- or polypeptide linker, preferably between 2and 10 amino acids in length may form the linkage between thetransmembrane domain and the cytoplasmic signaling domain of the CAR. Aglycine-serine doublet provides a particularly suitable linker.

In one embodiment, the transmembrane domain that naturally is associatedwith one of the domains in the CAR is used in addition to thetransmembrane domains described supra.

In some instances, the transmembrane domain can be selected or by aminoacid substitution to avoid binding of such domains to the transmembranedomains of the same or different surface membrane proteins to minimizeinteractions with other members of the receptor complex.

In one embodiment, the transmembrane domain in the CAR of the inventionis the CD8 transmembrane domain. In one embodiment, the CD8transmembrane domain comprises the nucleic acid sequence of SEQ ID NO:21. In one embodiment, the CD8 transmembrane domain comprises thenucleic acid sequence that encodes the amino acid sequence of SEQ ID NO:22. In another embodiment, the CD8 transmembrane domain comprises theamino acid sequence of SEQ ID NO: 22.

In one embodiment, the encoded transmembrane domain comprises an aminoacid sequence having at least one, two or three modifications (e.g.,substitutions) but not more than 20, 10 or 5 modifications (e.g.,substitutions) of an amino acid sequence of SEQ ID NO: 22, or a sequencewith 95-99% identity to an amino acid sequence of SEQ ID NO: 22.

In some instances, the transmembrane domain of the CAR comprises theCD8.alpha.hinge domain. In one embodiment, the CD8 hinge domaincomprises the nucleic acid sequence of SEQ ID NO: 23. In one embodiment,the CD8 hinge domain comprises the nucleic acid sequence that encodesthe amino acid sequence of SEQ ID NO: 24. In another embodiment, the CD8hinge domain comprises the amino acid sequence of SEQ ID NO: 24, or asequence with 95-99% identify thereof.

In one embodiment, an isolated nucleic acid molecule is provided whereinthe encoded linker domain is derived from the extracellular domain ofCD8, and is linked to the transmembrane CD8 domain, the transmembraneCD28 domain, or a combination thereof.

3. Spacer (Hinge, H) Domain

In the CAR, a spacer domain can be arranged between the extracellulardomain and the transmembrane domain, or between the intracellular domainand the transmembrane domain. The spacer domain means any oligopeptideor polyp eptide that serves to link the transmembrane domain with theextracellular domain and/or the transmembrane domain with theintracellular domain. The spacer domain comprises up to 300 amino acids,preferably 10 to 100 amino acids, and most preferably 25 to 50 aminoacids.

In several embodiments, the linker can include a spacer element, which,when present, increases the size of the linker such that the distancebetween the effector molecule or the detectable marker and the antibodyor antigen binding fragment is increased. Exemplary spacers are known tothe person of ordinary skill, and include those listed in U.S. Pat. Nos.7,964,566, 7,498,298, 6,884,869, 6,323,315, 6,239,104, 6,034,065,5,780,588, 5,665,860, 5,663,149, 5,635,483, 5,599,902, 5,554,725,5,530,097, 5,521,284, 5,504,191, 5,410,024, 5,138,036, 5,076,973,4,986,988, 4,978,744, 4,879,278, 4,816,444, and 4,486,414, as well asU.S. Pat. Pub. Nos. 20110212088 and 20110070248, each of which isincorporated by reference herein in its entirety.

The spacer domain preferably has a sequence that promotes binding of aCAR with an antigen and enhances signaling into a cell. Examples of anamino acid that is expected to promote the binding include cysteine, acharged amino acid, and serine and threonine in a potentialglycosylation site, and these amino acids can be used as an amino acidconstituting the spacer domain.

As the spacer domain, the entire or apart of amino acid numbers 137-206(SEQ ID NO: 25) which is a hinge region of CD8.alpha. (NCBI RefSeq:NP.sub.—001759.3), amino acid numbers 135 to 195 of CD8.beta. (GenBank:AAA35664.1), amino acid numbers 315 to 396 of CD4 (NCBI RefSeq:NP.sub.—000607.1), or amino acid numbers 137 to 152 of CD28 (NCBIRefSeq: NP.sub.—006130.1) can be used. Also, as the spacer domain, apart of a constant region of an antibody H chain or L chain can be used.Further, the spacer domain may be an artificially synthesized sequence.

A spacer domain can also be comprised of elements of Immunoglobulin (Ig)constant domains, such as those derived for IgG4, including sequencesthat link immunoglobulin domains that comprise an immunoglobulinprotein. The spacer or hinge domain exists at the C-terminus of the scFvROR1-binding domain and extends to the CAR transmembrane domain. In oneembodiment, the IgG4 hinge (H) domain comprises the nucleic acidsequence of SEQ ID NO: 38. In one embodiment, the CD8 hinge domaincomprises the nucleic acid sequence that encodes the amino acid sequenceof SEQ ID NO: 39. In another embodiment, the CD8 hinge domain comprisesthe amino acid sequence of SEQ ID NO: 39, or a sequence with 95-99%identify thereof.

In some instances, the IgG4 constant regions serve as a hinge (H) andare linked to the transmembrane domain of CD8. In one embodiment, theIgG4H domain is linked to the CD8 transmembrane domain and togethercomprises the nucleic acid sequence of SEQ ID NO: 40. In one embodiment,the IgG4H domain linked to the CD8 transmembrane domain comprises thenucleic acid sequence that encodes the amino acid sequence of SEQ ID NO:41. In another embodiment, the IgG4H linked to the CD8 transmembranedomain comprises the amino acid sequence of SEQ ID NO: 41, or a sequencewith 95-99% identify thereof.

Further, in the CAR, a signal peptide sequence can be linked to theN-terminus. The signal peptide sequence exists at the N-terminus of manysecretory proteins and membrane proteins, and has a length of 15 to 30amino acids. Since many of the protein molecules mentioned above as theintracellular domain have signal peptide sequences, the signal peptidescan be used as a signal peptide for the CAR. In one embodiment, thesignal peptide comprises the amino acid sequence shown in SEQ ID NO: 20.

4. Intracellular Domain

The cytoplasmic domain or otherwise the intracellular signaling domainof the CAR is responsible for activation of at least one of the normaleffector functions of the immune cell in which the CAR has been placedin. The term “effector function” refers to a specialized function of acell. Effector function of a T cell, for example, may be cytolyticactivity or helper activity including the secretion of cytokines. Thusthe term “intracellular signaling domain” refers to the portion of aprotein which transduces the effector function signal and directs thecell to perform a specialized function. While usually the entireintracellular signaling domain can be employed, in many cases it is notnecessary to use the entire chain. To the extent that a truncatedportion of the intracellular signaling domain is used, such truncatedportion may be used in place of the intact chain as long as ittransduces the effector function signal. The term intracellularsignaling domain is thus meant to include any truncated portion of theintracellular signaling domain sufficient to transduce the effectorfunction signal.

Preferred examples of intracellular signaling domains for use in the CARinclude the cytoplasmic sequences of the T cell receptor (TCR) andco-receptors that act in concert to initiate signal transductionfollowing antigen receptor engagement, as well as any derivative orvariant of these sequences and any synthetic sequence that has the samefunctional capability.

It is known that signals generated through the TCR alone areinsufficient for full activation of the T cell and that a secondary orco-stimulatory signal is also required. Thus, T cell activation can besaid to be mediated by two distinct classes of cytoplasmic signalingsequence: those that initiate antigen-dependent primary activationthrough the TCR (primary cytoplasmic signaling sequences) and those thatact in an antigen-independent manner to provide a secondary orco-stimulatory signal (secondary cytoplasmic signaling sequences).

Primary cytoplasmic signaling sequences regulate primary activation ofthe TCR complex either in a stimulatory way, or in an inhibitory way.Primary cytoplasmic signaling sequences that act in a stimulatory mannermay contain signaling motifs which are known as immunoreceptortyrosine-based activation motifs or ITAMs.

Examples of ITAM containing primary cytoplasmic signaling sequences thatare of particular use in the CARS disclosed herein include those derivedfrom TCR zeta (CD3 Zeta), FcR gamma, FcR beta, CD3 gamma, CD3 delta, CD3epsilon, CD5, CD22, CD79a, CD79b, and CD66d. Specific, non-limitingexamples, of the ITAM include peptides having sequences of amino acidnumbers 51 to 164 of CD3.zeta. (NCBI RefSeq: NP.sub.—932170.1), aminoacid numbers 45 to 86 of Fc.epsilon.RI.gamma. (NCBI RefSeq:NP.sub.—004097.1), amino acid numbers 201 to 244 of Fc.epsilon.RI.beta.(NCBI RefSeq: NP.sub.—000130.1), amino acid numbers 139 to 182 ofCD3.gamma. (NCBI RefSeq: NP.sub.—000064.1), amino acid numbers 128 to171 of CD3.delta. (NCBI RefSeq: NP.sub.—000723.1), amino acid numbers153 to 207 of CD3.epsilon. (NCBI RefSeq: NP.sub.—000724.1), amino acidnumbers 402 to 495 of CD5 (NCBI RefSeq: NP.sub.—055022.2), amino acidnumbers 707 to 847 of 0022 (NCBI RefSeq: NP.sub.—001762.2), amino acidnumbers 166 to 226 of CD79a (NCBI RefSeq: NP.sub.—001774.1), amino acidnumbers 182 to 229 of CD79b (NCBI RefSeq: NP.sub.—000617.1), and aminoacid numbers 177 to 252 of CD66d (NCBI RefSeq: NP.sub.—001806.2), andtheir variants having the same function as these peptides have. Theamino acid number based on amino acid sequence information of NCBIRefSeq ID or GenBank described herein is numbered based on the fulllength of the precursor (comprising a signal peptide sequence etc.) ofeach protein. In one embodiment, the cytoplasmic signaling molecule inthe CAR comprises a cytoplasmic signaling sequence derived from CD3zeta.

In a preferred embodiment, the intracellular domain of the CAR can bedesigned to comprise the CD3-zeta signaling domain by itself or combinedwith any other desired cytoplasmic domain(s) useful in the context ofthe CAR. For example, the intracellular domain of the CAR can comprise aCD3 zeta chain portion and a costimulatory signaling region. Thecostimulatory signaling region refers to a portion of the CAR comprisingthe intracellular domain of a costimulatory molecule. A costimulatorymolecule is a cell surface molecule other than an antigen receptor ortheir ligands that is required for an efficient response of lymphocytesto an antigen. Examples of such costimulatory molecules include CD27,CD28, 4-1BB (CD137), OX40, CD30, CD40, PD-1, ICOS, lymphocytefunction-associated antigen-1 (LFA-1), CD2, CD7, LIGHT, NKG2C, B7-H3,and a ligand that specifically binds with CD83, and the like. Specific,non-limiting examples, of such costimulatory molecules include peptideshaving sequences of amino acid numbers 236 to 351 of CD2 (NCBI RefSeq:NP.sub.—001758.2), amino acid numbers 421 to 458 of CD4 (NCBI RefSeq:NP.sub.—000607.1), amino acid numbers 402 to 495 of CD5 (NCBI RefSeq:NP.sub.—055022.2), amino acid numbers 207 to 235 of CD8.alpha. (NCBIRefSeq: NP.sub.—001759.3), amino acid numbers 196 to 210 of CD83(GenBank: AAA35664.1), amino acid numbers 181 to 220 of CD28 (NCBIRefSeq: NP.sub.—006130.1), amino acid numbers 214 to 255 of CD137(4-1BB, NCBI RefSeq: NP.sub.—001552.2), amino acid numbers 241 to 277 ofCD134 (OX40, NCBI RefSeq: NP.sub.—003318.1), and amino acid numbers 166to 199 of ICOS (NCBI RefSeq: NP.sub.—036224.1), and their variantshaving the same function as these peptides have. Thus, while thedisclosure herein is exemplified primarily with 4-1BB as theco-stimulatory signaling element, other costimulatory elements arewithin the scope of the disclosure.

The cytoplasmic signaling sequences within the cytoplasmic signalingportion of the CAR may be linked to each other in a random or specifiedorder. Optionally, a short oligo- or polypeptide linker, preferablybetween 2 and 10 amino acids in length may form the linkage. Aglycine-serine doublet provides a particularly suitable linker.

In one embodiment, the intracellular domain is designed to comprise thesignaling domain of CD3-zeta and the signaling domain of CD28. Inanother embodiment, the intracellular domain is designed to comprise thesignaling domain of CD3-zeta and the signaling domain of 4-1BB. In yetanother embodiment, the intracellular domain is designed to comprise thesignaling domain of CD3-zeta and the signaling domain of CD28 and 4-1BB.

In one embodiment, the intracellular domain in the CAR is designed tocomprise the signaling domain of 4-1BB and the signaling domain ofCD3-zeta, wherein the signaling domain of 4-1BB comprises the nucleicacid sequence set forth in SEQ ID NO: 26 and the signaling domain ofCD3-zeta comprises the nucleic acid sequence set forth in SEQ ID NO: 28and in the variant nucleic acid sequence set forth in SEQ ID NO: 30. Inone embodiment, the intracellular domain in the CAR is designed tocomprise the signaling domain of 4-1BB and the signaling domain ofCD3-zeta, wherein the signaling domain of 4-1BB comprises the nucleicacid sequence set forth in SEQ ID NO: 26 and the signaling domain ofCD3-zeta comprises the nucleic acid sequence set forth in SEQ ID NO: 28and in the variant nucleic acid sequence set forth in SEQ ID NO: 30.

In one embodiment, the intracellular domain in the CAR is designed tocomprise the signaling domain of 4-1BB and the signaling domain ofCD3-zeta, wherein the signaling domain of 4-1BB comprises the nucleicacid sequence that encodes the amino acid sequence of SEQ ID NO: 27 andthe signaling domain of CD3-zeta comprises the nucleic acid sequencethat encodes the amino acid sequence of SEQ ID NO: 29 and in the variantnucleic acid that encodes the amino acid sequence of SEQ ID NO: 31.

In one embodiment, the intracellular domain in the CAR is designed tocomprise the signaling domain of 4-1BB and the signaling domain ofCD3-zeta, wherein the signaling domain of 4-1BB comprises the amino acidsequence set forth in SEQ ID NO: 27 and the signaling domain of CD3-zetacomprises the amino acid sequence set forth in SEQ ID NO: 29 and thevariant amino acid sequence set forth in SEQ ID NO: 31.

5. Additional Description of CARs

Also expressly included within the scope of the invention are functionalportions of the CARs disclosed herein. The term “functional portion”when used in reference to a CAR refers to any part or fragment of one ormore of the CARs disclosed herein, which part or fragment retains thebiological activity of the CAR of which it is a part (the parent CAR).Functional portions encompass, for example, those parts of a CAR thatretain the ability to recognize target cells, or detect, treat, orprevent a disease, to a similar extent, the same extent, or to a higherextent, as the parent CAR. In reference to the parent CAR, thefunctional portion can comprise, for instance, about 10%, 25%, 30%, 50%,68%, 80%, 90%, 95%, or more, of the parent CAR.

The functional portion can comprise additional amino acids at the aminoor carboxy terminus of the portion, or at both termini, which additionalamino acids are not found in the amino acid sequence of the parent CAR.Desirably, the additional amino acids do not interfere with thebiological function of the functional portion, e.g., recognize targetcells, detect cancer, treat or prevent cancer, etc. More desirably, theadditional amino acids enhance the biological activity, as compared tothe biological activity of the parent CAR.

Included in the scope of the disclosure are functional variants of theCARs disclosed herein. The term “functional variant” as used hereinrefers to a CAR, polypeptide, or protein having substantial orsignificant sequence identity or similarity to a parent CAR, whichfunctional variant retains the biological activity of the CAR of whichit is a variant. Functional variants encompass, for example, thosevariants of the CAR described herein (the parent CAR) that retain theability to recognize target cells to a similar extent, the same extent,or to a higher extent, as the parent CAR. In reference to the parentCAR, the functional variant can, for instance, be at least about 30%,50%, 75%, 80%, 90%, 98% or more identical in amino acid sequence to theparent CAR.

A functional variant can, for example, comprise the amino acid sequenceof the parent CAR with at least one conservative amino acidsubstitution. Alternatively, or additionally, the functional variantscan comprise the amino acid sequence of the parent CAR with at least onenon-conservative amino acid substitution. In this case, it is preferablefor the non-conservative amino acid substitution to not interfere withor inhibit the biological activity of the functional variant. Thenon-conservative amino acid substitution may enhance the biologicalactivity of the functional variant, such that the biological activity ofthe functional variant is increased as compared to the parent CAR.

Amino acid substitutions of the CARs are preferably conservative aminoacid substitutions. Conservative amino acid substitutions are known inthe art, and include amino acid substitutions in which one amino acidhaving certain physical and/or chemical properties is exchanged foranother amino acid that has the same or similar chemical or physicalproperties. For instance, the conservative amino acid substitution canbe an acidic/negatively charged polar amino acid substituted for anotheracidic/negatively charged polar amino acid (e.g., Asp or Glu), an aminoacid with a nonpolar side chain substituted for another amino acid witha nonpolar side chain (e.g., Ala, Gly, Val, He, Leu, Met, Phe, Pro, Trp,Cys, Val, etc.), a basic/positively charged polar amino acid substitutedfor another basic/positively charged polar amino acid (e.g. Lys, His,Arg, etc.), an uncharged amino acid with a polar side chain substitutedfor another uncharged amino acid with a polar side chain (e.g., Asn,Gin, Ser, Thr, Tyr, etc.), an amino acid with a beta-branched side-chainsubstituted for another amino acid with a beta-branched side-chain(e.g., He, Thr, and Val), an amino acid with an aromatic side-chainsubstituted for another amino acid with an aromatic side chain (e.g.,His, Phe, Trp, and Tyr), etc.

The CAR can consist essentially of the specified amino acid sequence orsequences described herein, such that other components, e.g., otheramino acids, do not materially change the biological activity of thefunctional variant.

The CARs (including functional portions and functional variants) can beof any length, i.e., can comprise any number of amino acids, providedthat the CARs (or functional portions or functional variants thereof)retain their biological activity, e.g., the ability to specifically bindto antigen, detect diseased cells in a mammal, or treat or preventdisease in a mammal, etc. For example, the CAR can be about 50 to about5000 amino acids long, such as 50, 70, 75, 100, 125, 150, 175, 200, 300,400, 500, 600, 700, 800, 900, 1000 or more amino acids in length.

The CARs (including functional portions and functional variants of theinvention) can comprise synthetic amino acids in place of one or morenaturally-occurring amino acids. Such synthetic amino acids are known inthe art, and include, for example, aminocyclohexane carboxylic acid,norleucine, -amino n-decanoic acid, homoserine,S-acetylaminomethyl-cysteine, trans-3- and trans-4-hydroxyproline,4-aminophenylalanine, 4-nitrophenylalanine, 4-chlorophenylalanine,4-carboxyphenylalanine, β-phenylserine β-hydroxyphenylalanine,phenylglycine, a-naphthylalanine, cyclohexylalanine, cyclohexylglycine,indoline-2-carboxylic acid, 1,2,3,4-tetrahydroisoquinoline-3-carboxylicacid, aminomalonic acid, aminomalonic acid monoamide,N′-benzyl-N′-methyl-lysine, N′,N′-dibenzyl-lysine, 6-hydroxylysine,omithine, -aminocyclopentane carboxylic acid, a-aminocyclohexanecarboxylic acid, a-aminocycloheptane carboxylic acid,a-(2-amino-2-norbornane)-carboxylic acid, γ-diaminobutyric acid,β-diaminopropionic acid, homophenylalanine, and a-tert-butylglycine.

The CARs (including functional portions and functional variants) can beglycosylated, amidated, carboxylated, phosphorylated, esterified,N-acylated, cyclized via, e.g., a disulfide bridge, or converted into anacid addition salt and/or optionally dimerized or polymerized, orconjugated.

The CARs (including functional portions and functional variants thereof)can be obtained by methods known in the art. The CARs may be made by anysuitable method of making polypeptides or proteins. Suitable methods ofde novo synthesizing polypeptides and proteins are described inreferences, such as Chan et al., Fmoc Solid Phase Peptide Synthesis,Oxford University Press, Oxford, United Kingdom, 2000; Peptide andProtein Drug Analysis, ed. Reid, R., Marcel Dekker, Inc., 2000; EpitopeMapping, ed. Westwood et al., Oxford University Press, Oxford, UnitedKingdom, 2001; and U.S. Pat. No. 5,449,752. Also, polypeptides andproteins can be recombinantly produced using the nucleic acids describedherein using standard recombinant methods. See, for instance, Sambrooket al., Molecular Cloning: A Laboratory Manual, 3rd ed., Cold SpringHarbor Press, Cold Spring Harbor, N.Y. 2001; and Ausubel et al., CurrentProtocols in Molecular Biology, Greene Publishing Associates and JohnWiley & Sons, N Y, 1994. Further, some of the CARs (including functionalportions and functional variants thereof) can be isolated and/orpurified from a source, such as a plant, a bacterium, an insect, amammal, e.g., a rat, a human, etc. Methods of isolation and purificationare well-known in the art. Alternatively, the CARs described herein(including functional portions and functional variants thereof) can becommercially synthesized by companies. In this respect, the CARs can besynthetic, recombinant, isolated, and/or purified.

B. Antibodies and Antigen Binding Fragments

One embodiment further provides a CAR, a T cell expressing a CAR, anantibody, or antigen binding domain or portion thereof, whichspecifically binds to one or more of the antigens disclosed herein. Asused herein, a “T cell expressing a CAR,” or a “CAR T cell” means a Tcell expressing a CAR, and has antigen specificity determined by, forexample, the antibody-derived targeting domain of the CAR.

As used herein, and “antigen binding domain” can include an antibody andantigen binding fragments thereof. The term “antibody” is used herein inthe broadest sense and encompasses various antibody structures,including but not limited to monoclonal antibodies, polyclonalantibodies, multi-specific antibodies (e.g., bispecific antibodies), andantigen binding fragments thereof, so long as they exhibit the desiredantigen-binding activity. Non-limiting examples of antibodies include,for example, intact immunoglobulins and variants and fragments thereofknown in the art that retain binding affinity for the antigen.

A “monoclonal antibody” is an antibody obtained from a population ofsubstantially homogeneous antibodies, i.e., the individual antibodiescomprising the population are identical except for possible naturallyoccurring mutations that may be present in minor amounts. Monoclonalantibodies are highly specific, being directed against a singleantigenic epitope. The modifier “monoclonal” indicates the character ofthe antibody as being obtained from a substantially homogeneouspopulation of antibodies, and is not to be construed as requiringproduction of the antibody by any particular method. In some examples, amonoclonal antibody is an antibody produced by a single clone of Blymphocytes or by a cell into which nucleic acid encoding the light andheavy variable regions of the antibody of a single antibody (or anantigen binding fragment thereof) have been transfected, or a progenythereof. In some examples monoclonal antibodies are isolated from asubject. Monoclonal antibodies can have conservative amino acidsubstitutions which have substantially no effect on antigen binding orother immunoglobulin functions. Exemplary methods of production ofmonoclonal antibodies are known, for example, see Harlow & Lane,Antibodies, A Laboratory Manual, 2nd ed. Cold Spring HarborPublications, New York (2013).

Typically, an immunoglobulin has heavy (H) chains and light (L) chainsinterconnected by disulfide bonds. Immunoglobulin genes include thekappa, lambda, alpha, gamma, delta, epsilon and mu constant regiongenes, as well as the myriad immunoglobulin variable domain genes. Thereare two types of light chain, lambda (λ) and kappa (κ). There are fivemain heavy chain classes (or isotypes) which determine the functionalactivity of an antibody molecule: IgM, IgD, IgG, IgA and IgE.

Each heavy and light chain contains a constant region (or constantdomain) and a variable region (or variable domain; see, e.g., Kindt etal. Kuby Immunology, 6^(th) ed., W.H. Freeman and Co., page 91 (2007).)In several embodiments, the heavy and the light chain variable regionscombine to specifically bind the antigen. In additional embodiments,only the heavy chain variable region is required. For example, naturallyoccurring camelid antibodies consisting of a heavy chain only arefunctional and stable in the absence of light chain (see, e.g.,Hamers-Casterman et al., Nature, 363:446-448, 1993; Sheriff et al., Nat.Struct. Biol., 3:733-736, 1996). References to “VH” or “VH” refer to thevariable region of an antibody heavy chain, including that of an antigenbinding fragment, such as Fv, ScFv, dsFv or Fab. References to “VL” or“VL” refer to the variable domain of an antibody light chain, includingthat of an Fv, ScFv, dsFv or Fab.

Light and heavy chain variable regions contain a “framework” regioninterrupted by three hypervariable regions, also called“complementarity-determining regions” or “CDRs” (see, e.g., Kabat etal., Sequences of Proteins of Immunological Interest, U.S. Department ofHealth and Human Services, 1991). The sequences of the framework regionsof different light or heavy chains are relatively conserved within aspecies. The framework region of an antibody, that is the combinedframework regions of the constituent light and heavy chains, serves toposition and align the CDRs in three-dimensional space.

The CDRs are primarily responsible for binding to an epitope of anantigen. The amino acid sequence boundaries of a given CDR can bereadily determined using any of a number of well-known schemes,including those described by Kabat et al. (“Sequences of Proteins ofImmunological Interest,” 5^(th) Ed. Public Health Service, NationalInstitutes of Health, Bethesda, Md., 1991; “Kabat” numbering scheme),Al-Lazikani et al., (JMB 273,927-948, 1997; “Chothia” numbering scheme),and Lefranc et al. (“IMGT unique numbering for immunoglobulin and T cellreceptor variable domains and Ig superfamily V-like domains,” Dev. Comp.Immunol., 27:55-77, 2003; “IMGT” numbering scheme). The CDRs of eachchain are typically referred to as CDR1, CDR2, and CDR3 (from theN-terminus to C-terminus), and are also typically identified by thechain in which the particular CDR is located. Thus, a VH CDR3 is theCDR3 from the variable domain of the heavy chain of the antibody inwhich it is found, whereas a VL CDR1 is the CDR1 from the variabledomain of the light chain of the antibody in which it is found. Lightchain CDRs are sometimes referred to as LCDR1, LCDR2, and LCDR3. Heavychain CDRs are sometimes referred to as LCDR1, LCDR2, and LCDR3.

An “antigen binding fragment” is a portion of a full length antibodythat retains the ability to specifically recognize the cognate antigen,as well as various combinations of such portions. Non-limiting examplesof antigen binding fragments include Fv, Fab, Fab′, Fab′-SH, F(ab′)2;diabodies; linear antibodies; single-chain antibody molecules (e.g.ScFv); and multi-specific antibodies formed from antibody fragments.Antibody fragments include antigen binding fragments either produced bythe modification of whole antibodies or those synthesized de novo usingrecombinant DNA methodologies (see, e.g., Kontermann and Dubel (Ed),Antibody Engineering, Vols. 1-2, 2nd Ed., Springer Press, 2010).

A single-chain antibody (ScFv) is a genetically engineered moleculecontaining the VH and VL domains of one or more antibody(ies) linked bya suitable polypeptide linker as a genetically fused single chainmolecule (see, for example, Bird et al., Science, 242:423 426, 1988;Huston et al., Proc. Natl. Acad. Sci., 85:5879 5883, 1988; Ahmad et al.,Clin. Dev. Immunol., 2012, doi:10.1155/2012/980250; Marbry, IDrugs,13:543-549, 2010). The intramolecular orientation of the VH-domain andthe VL-domain in a ScFv, is typically not decisive for ScFvs. Thus,ScFvs with both possible arrangements (VH-domain-linkerdomain-VL-domain; VL-domain-linker domain-VH-domain) may be used.

In a dsFv, the heavy and light chain variable chains have been mutatedto introduce a disulfide bond to stabilize the association of thechains. Diabodies also are included, which are bivalent, bispecificantibodies in which VH and VL domains are expressed on a singlepolypeptide chain, but using a linker that is too short to allow forpairing between the two domains on the same chain, thereby forcing thedomains to pair with complementary domains of another chain and creatingtwo antigen binding sites (see, for example, Holliger et al., Proc.Natl. Acad. Sci., 90:6444 6448, 1993; Poljak et al., Structure, 2:11211123, 1994).

Antibodies also include genetically engineered forms such as chimericantibodies (such as humanized murine antibodies) and heteroconjugateantibodies (such as bispecific antibodies). See also, Pierce Catalog andHandbook, 1994-1995 (Pierce Chemical Co., Rockford, Ill.); Kuby, J.,Immunology, 3rd Ed., W.H. Freeman & Co., New York, 1997.

Non-naturally occurring antibodies can be constructed using solid phasepeptide synthesis, can be produced recombinantly, or can be obtained,for example, by screening combinatorial libraries consisting of variableheavy chains and variable light chains as described by Huse et al.,Science 246:1275-1281 (1989), which is incorporated herein by reference.These and other methods of making, for example, chimeric, humanized,CDR-grafted, single chain, and bifunctional antibodies, are well knownto those skilled in the art (Winter and Harris, Immunol. Today14:243-246 (1993); Ward et al., Nature 341:544-546 (1989); Harlow andLane, supra, 1988; Hilyard et al., Protein Engineering: A practicalapproach (IRL Press 1992); Borrabeck, Antibody Engineering, 2d ed.(Oxford University Press 1995); each of which is incorporated herein byreference).

An “antibody that binds to the same epitope” as a reference antibodyrefers to an antibody that blocks binding of the reference antibody toits antigen in a competition assay by 50% or more, and conversely, thereference antibody blocks binding of the antibody to its antigen in acompetition assay by 50% or more. Antibody competition assays are known,and an exemplary competition assay is provided herein.

A “humanized” antibody or antigen binding fragment includes a humanframework region and one or more CDRs from a non-human (such as a mouse,rat, or synthetic) antibody or antigen binding fragment. The non-humanantibody or antigen binding fragment providing the CDRs is termed a“donor,” and the human antibody or antigen binding fragment providingthe framework is termed an “acceptor.” In one embodiment, all the CDRsare from the donor immunoglobulin in a humanized immunoglobulin.Constant regions need not be present, but if they are, they can besubstantially identical to human immunoglobulin constant regions, suchas at least about 85-90%, such as about 95% or more identical. Hence,all parts of a humanized antibody or antigen binding fragment, exceptpossibly the CDRs, are substantially identical to corresponding parts ofnatural human antibody sequences.

A “chimeric antibody” is an antibody which includes sequences derivedfrom two different antibodies, which typically are of different species.In some examples, a chimeric antibody includes one or more CDRs and/orframework regions from one human antibody and CDRs and/or frameworkregions from another human antibody.

A “fully human antibody” or “human antibody” is an antibody whichincludes sequences from (or derived from) the human genome, and does notinclude sequence from another species. In some embodiments, a humanantibody includes CDRs, framework regions, and (if present) an Fc regionfrom (or derived from) the human genome. Human antibodies can beidentified and isolated using technologies for creating antibodies basedon sequences derived from the human genome, for example by phage displayor using transgenic animals (see, e.g., Barbas et al. Phage display: ALaboratory Manuel. 1st Ed. New York: Cold Spring Harbor LaboratoryPress, 2004. Print.; Lonberg, Nat. Biotech., 23: 1117-1125, 2005;Lonenberg, Curr. Opin. Immunol., 20:450-459, 2008).

An antibody may have one or more binding sites. If there is more thanone binding site, the binding sites may be identical to one another ormay be different. For instance, a naturally-occurring immunoglobulin hastwo identical binding sites, a single-chain antibody or Fab fragment hasone binding site, while a bispecific or bifunctional antibody has twodifferent binding sites.

Methods of testing antibodies for the ability to bind to any functionalportion of the CAR are known in the art and include any antibody-antigenbinding assay, such as, for example, radioimmunoassay (RIA), ELISA,Western blot, immunoprecipitation, and competitive inhibition assays(see, e.g., Janeway et al., infra, U.S. Patent Application PublicationNo. 2002/0197266 A1, and U.S. Pat. No. 7,338,929).

Also, a CAR, a T cell expressing a CAR, an antibody, or antigen bindingportion thereof, can be modified to comprise a detectable label, suchas, for instance, a radioisotope, a fluorophore (e.g., fluoresceinisothiocyanate (FITC), phycoerythrin (PE)), an enzyme (e.g., alkalinephosphatase, horseradish peroxidase), and element particles (e.g., goldparticles).

C. Conjugates

A CAR, a T cell expressing a CAR, or monoclonal antibodies, or antigenbinding fragments thereof, specific for one or more of the antigensdisclosed herein, can be conjugated to an agent, such as an effectormolecule or detectable marker, using any number of means known to thoseof skill in the art. Both covalent and noncovalent attachment means maybe used. Conjugates include, but are not limited to, molecules in whichthere is a covalent linkage of an effector molecule or a detectablemarker to an antibody or antigen binding fragment that specificallybinds one or more of the antigens disclosed herein. One of skill in theart will appreciate that various effector molecules and detectablemarkers can be used, including (but not limited to) chemotherapeuticagents, anti-angiogenic agents, toxins, radioactive agents such as ¹²⁵I,³²P, ¹⁴C, ³H and ³⁵S and other labels, target moieties and ligands, etc.

The choice of a particular effector molecule or detectable markerdepends on the particular target molecule or cell, and the desiredbiological effect. Thus, for example, the effector molecule can be acytotoxin that is used to bring about the death of a particular targetcell (such as a tumor cell).

The procedure for attaching an effector molecule or detectable marker toan antibody or antigen binding fragment varies according to the chemicalstructure of the effector. Polypeptides typically contain a variety offunctional groups; such as carboxylic acid (COOH), free amine (—NH₂) orsulfhydryl (—SH) groups, which are available for reaction with asuitable functional group on an antibody to result in the binding of theeffector molecule or detectable marker. Alternatively, the antibody orantigen binding fragment is derivatized to expose or attach additionalreactive functional groups. The derivatization may involve attachment ofany of a number of known linker molecules such as those available fromPierce Chemical Company, Rockford, Ill. The linker can be any moleculeused to join the antibody or antigen binding fragment to the effectormolecule or detectable marker. The linker is capable of forming covalentbonds to both the antibody or antigen binding fragment and to theeffector molecule or detectable marker. Suitable linkers are well knownto those of skill in the art and include, but are not limited to,straight or branched-chain carbon linkers, heterocyclic carbon linkers,or peptide linkers. Where the antibody or antigen binding fragment andthe effector molecule or detectable marker are polypeptides, the linkersmay be joined to the constituent amino acids through their side groups(such as through a disulfide linkage to cysteine) or to the alpha carbonamino and carboxyl groups of the terminal amino acids.

In several embodiments, the linker can include a spacer element, which,when present, increases the size of the linker such that the distancebetween the effector molecule or the detectable marker and the antibodyor antigen binding fragment is increased. Exemplary spacers are known tothe person of ordinary skill, and include those listed in U.S. Pat. Nos.7,964,566, 7,498,298, 6,884,869, 6,323,315, 6,239,104, 6,034,065,5,780,588, 5,665,860, 5,663,149, 5,635,483, 5,599,902, 5,554,725,5,530,097, 5,521,284, 5,504,191, 5,410,024, 5,138,036, 5,076,973,4,986,988, 4,978,744, 4,879,278, 4,816,444, and 4,486,414, as well asU.S. Pat. Pub. Nos. 20110212088 and 20110070248, each of which isincorporated by reference herein in its entirety.

In some embodiments, the linker is cleavable under intracellularconditions, such that cleavage of the linker releases the effectormolecule or detectable marker from the antibody or antigen bindingfragment in the intracellular environment. In yet other embodiments, thelinker is not cleavable and the effector molecule or detectable markeris released, for example, by antibody degradation. In some embodiments,the linker is cleavable by a cleaving agent that is present in theintracellular environment (for example, within a lysosome or endosome orcaveolea). The linker can be, for example, a peptide linker that iscleaved by an intracellular peptidase or protease enzyme, including, butnot limited to, a lysosomal or endosomal protease. In some embodiments,the peptide linker is at least two amino acids long or at least threeamino acids long. However, the linker can be 4, 5, 6, 7, 8, 9, 10, 11,12, 13, 14 or 15 amino acids long, such as 1-2, 1-3, 2-5, 3-10, 3-15,1-5, 1-10, 1-15 amino acids long. Proteases can include cathepsins B andD and plasmin, all of which are known to hydrolyze dipeptide drugderivatives resulting in the release of active drug inside target cells(see, for example, Dubowchik and Walker, 1999, Pharm. Therapeutics83:67-123). For example, a peptide linker that is cleavable by thethiol-dependent protease cathepsin-B, can be used (for example, aPhenylalanine-Leucine or a Glycine-Phenylalanine-Leucine-Glycinelinker). Other examples of such linkers are described, for example, inU.S. Pat. No. 6,214,345, incorporated herein by reference. In a specificembodiment, the peptide linker cleavable by an intracellular protease isa Valine-Citruline linker or a Phenylalanine-Lysine linker (see, forexample, U.S. Pat. No. 6,214,345, which describes the synthesis ofdoxorubicin with the Valine-Citruline linker).

In other embodiments, the cleavable linker is pH-sensitive, i.e.,sensitive to hydrolysis at certain pH values. Typically, thepH-sensitive linker is hydrolyzable under acidic conditions. Forexample, an acid-labile linker that is hydrolyzable in the lysosome (forexample, a hydrazone, semicarbazone, thiosemicarbazone, cis-aconiticamide, orthoester, acetal, ketal, or the like) can be used. (See, forexample, U.S. Pat. Nos. 5,122,368; 5,824,805; 5,622,929; Dubowchik andWalker, 1999, Pharm. Therapeutics 83:67-123; Neville et al., 1989, Biol.Chem. 264:14653-14661.) Such linkers are relatively stable under neutralpH conditions, such as those in the blood, but are unstable at below pH5.5 or 5.0, the approximate pH of the lysosome. In certain embodiments,the hydrolyzable linker is a thioether linker (such as, for example, athioether attached to the therapeutic agent via an acylhydrazone bond(see, for example, U.S. Pat. No. 5,622,929).

In other embodiments, the linker is cleavable under reducing conditions(for example, a disulfide linker). A variety of disulfide linkers areknown in the art, including, for example, those that can be formed usingSATA (N-succinimidyl-S-acetylthioacetate), SPDP(N-succinimidyl-3-(2-pyridyldithio)propionate), SPDB(N-succinimidyl-3-(2-pyridyldithio)butyrate) and SMPT(N-succinimidyl-oxycarbonyl-alpha-methyl-alpha-(2-pyridyl-dithio)toluene)-,SPDB and SMPT. (See, for example, Thorpe et al., 1987, Cancer Res.47:5924-5931; Wawrzynczak et al., In Immunoconjugates: AntibodyConjugates in Radioimagery and Therapy of Cancer (C. W. Vogel ed.,Oxford U. Press, 1987); Phillips et al., Cancer Res. 68:92809290, 2008).See also U.S. Pat. No. 4,880,935.)

In yet other specific embodiments, the linker is a malonate linker(Johnson et al., 1995, Anticancer Res. 15:1387-93), a maleimidobenzoyllinker (Lau et al., 1995, Bioorg-Med-Chem. 3(10):1299-1304), or a3′-N-amide analog (Lau et al., 1995, Bioorg-Med-Chem. 3(10):1305-12).

In yet other embodiments, the linker is not cleavable and the effectormolecule or detectable marker is released by antibody degradation. (SeeU.S. Publication No. 2005/023 8649 incorporated by reference herein inits entirety).

In several embodiments, the linker is resistant to cleavage in anextracellular environment. For example, no more than about 20%, no morethan about 15%, no more than about 10%, no more than about 5%, no morethan about 3%, or no more than about 1% of the linkers, in a sample ofconjugate, are cleaved when the conjugate is present in an extracellularenvironment (for example, in plasma). Whether or not a linker isresistant to cleavage in an extracellular environment can be determined,for example, by incubating the conjugate containing the linker ofinterest with plasma for a predetermined time period (for example, 2, 4,8, 16, or 24 hours) and then quantitating the amount of free effectormolecule or detectable marker present in the plasma. A variety ofexemplary linkers that can be used in conjugates are described in WO2004-010957, U.S. Publication No. 2006/0074008, U.S. Publication No.20050238649, and U.S. Publication No. 2006/0024317, each of which isincorporated by reference herein in its entirety.

In several embodiments, conjugates of a CAR, a T cell expressing a CAR,an antibody, or antigen binding portion thereof, and one or more smallmolecule toxins, such as a calicheamicin, maytansinoids, dolastatins,auristatins, a trichothecene, and CC1065, and the derivatives of thesetoxins that have toxin activity, are provided.

Maytansine compounds suitable for use as maytansinoid toxin moieties arewell known in the art, and can be isolated from natural sourcesaccording to known methods, produced using genetic engineeringtechniques (see Yu et al (2002) PNAS 99:7968-7973), or maytansinol andmaytansinol analogues prepared synthetically according to known methods.Maytansinoids are mitototic inhibitors which act by inhibiting tubulinpolymerization. Maytansine was first isolated from the east Africanshrub Maytenus serrata (U.S. Pat. No. 3,896,111). Subsequently, it wasdiscovered that certain microbes also produce maytansinoids, such asmaytansinol and C-3 maytansinol esters (U.S. Pat. No. 4,151,042).Synthetic maytansinol and derivatives and analogues thereof aredisclosed, for example, in U.S. Pat. Nos. 4,137,230; 4,248,870;4,256,746; 4,260,608; 4,265,814; 4,294,757; 4,307,016; 4,308,268;4,308,269; 4,309,428; 4,313,946; 4,315,929; 4,317,821; 4,322,348;4,331,598; 4,361,650; 4,364,866; 4,424,219; 4,450,254; 4,362,663; and4,371,533, each of which is incorporated herein by reference. Conjugatescontaining maytansinoids, methods of making same, and their therapeuticuse are disclosed, for example, in U.S. Pat. Nos. 5,208,020; 5,416,064;6,441,163 and European Patent EP 0 425 235 B1, the disclosures of whichare hereby expressly incorporated by reference.

Additional toxins can be employed with a CAR, a T cell expressing a CAR,an antibody, or antigen binding portion thereof. Exemplary toxinsinclude Pseudomonas exotoxin (PE), ricin, abrin, diphtheria toxin andsubunits thereof, ribotoxin, ribonuclease, saporin, and calicheamicin,as well as botulinum toxins A through F. These toxins are well known inthe art and many are readily available from commercial sources (forexample, Sigma Chemical Company, St. Louis, Mo.). Contemplated toxinsalso include variants of the toxins (see, for example, see, U.S. Pat.Nos. 5,079,163 and 4,689,401).

Saporin is a toxin derived from Saponaria officinalis that disruptsprotein synthesis by inactivating the 60S portion of the ribosomalcomplex (Stirpe et al., Bio/Technology, 10:405-412, 1992). However, thetoxin has no mechanism for specific entry into cells, and thereforerequires conjugation to an antibody or antigen binding fragment thatrecognizes a cell-surface protein that is internalized in order to beefficiently taken up by cells.

Diphtheria toxin is isolated from Corynebacterium diphtheriae.Typically, diphtheria toxin for use in immunotoxins is mutated to reduceor to eliminate non-specific toxicity. A mutant known as CRM107, whichhas full enzymatic activity but markedly reduced non-specific toxicity,has been known since the 1970's (Laird and Groman, J. Virol. 19:220,1976), and has been used in human clinical trials. See, U.S. Pat. Nos.5,792,458 and 5,208,021.

Ricin is the lectin RCA60 from Ricinus communis (Castor bean). Forexamples of ricin, see, U.S. Pat. Nos. 5,079,163 and 4,689,401. Ricinuscommunis agglutinin (RCA) occurs in two forms designated RCA₆₀ andRCA₁₂₀ according to their molecular weights of approximately 65 and 120kD, respectively (Nicholson & Blaustein, J. Biochim. Biophys. Acta266:543, 1972). The A chain is responsible for inactivating proteinsynthesis and killing cells. The B chain binds ricin to cell-surfacegalactose residues and facilitates transport of the A chain into thecytosol (Olsnes et al., Nature 249:627-631, 1974 and U.S. Pat. No.3,060,165).

Ribonucleases have also been conjugated to targeting molecules for useas immunotoxins (see Suzuki et al., Nat. Biotech. 17:265-70, 1999).Exemplary ribotoxins such as α-sarcin and restrictocin are discussed in,for example Rathore et al., Gene 190:31-5, 1997; and Goyal and Batra,Biochem. 345 Pt 2:247-54, 2000. Calicheamicins were first isolated fromMicromonospora echinospora and are members of the enediyne antitumorantibiotic family that cause double strand breaks in DNA that lead toapoptosis (see, for example Lee et al., J. Antibiot. 42:1070-87,1989).The drug is the toxic moiety of an immunotoxin in clinical trials (see,for example, Gillespie et al., Ann. Oncol. 11:735-41, 2000).

Abrin includes toxic lectins from Abrus precatorius. The toxicprinciples, abrin a, b, c, and d, have a molecular weight of from about63 and 67 kD and are composed of two disulfide-linked polypeptide chainsA and B. The A chain inhibits protein synthesis; the B chain (abrin-b)binds to D-galactose residues (see, Funatsu et al., Agr. Biol. Chem.52:1095, 1988; and Olsnes, Methods Enzymol. 50:330-335, 1978).

A CAR, a T cell expressing a CAR, monoclonal antibodies, antigen bindingfragments thereof, specific for one or more of the antigens disclosedherein, can also be conjugated with a detectable marker; for example, adetectable marker capable of detection by ELISA, spectrophotometry, flowcytometry, microscopy or diagnostic imaging techniques (such as computedtomography (CT), computed axial tomography (CAT) scans, magneticresonance imaging (MRI), nuclear magnetic resonance imaging NMRI),magnetic resonance tomography (MTR), ultrasound, fiberoptic examination,and laparoscopic examination). Specific, non-limiting examples ofdetectable markers include fluorophores, chemiluminescent agents,enzymatic linkages, radioactive isotopes and heavy metals or compounds(for example super paramagnetic iron oxide nanocrystals for detection byMRI). For example, useful detectable markers include fluorescentcompounds, including fluorescein, fluorescein isothiocyanate, rhodamine,5-dimethylamine-1-napthalenesulfonyl chloride, phycoerythrin, lanthanidephosphors and the like. Bioluminescent markers are also of use, such asluciferase, Green fluorescent protein (GFP), Yellow fluorescent protein(YFP). A CAR, a T cell expressing a CAR, an antibody, or antigen bindingportion thereof, can also be conjugated with enzymes that are useful fordetection, such as horseradish peroxidase, β-galactosidase, luciferase,alkaline phosphatase, glucose oxidase and the like. When a CAR, a T cellexpressing a CAR, an antibody, or antigen binding portion thereof, isconjugated with a detectable enzyme, it can be detected by addingadditional reagents that the enzyme uses to produce a reaction productthat can be discerned. For example, when the agent horseradishperoxidase is present the addition of hydrogen peroxide anddiaminobenzidine leads to a colored reaction product, which is visuallydetectable. A CAR, a T cell expressing a CAR, an antibody, or antigenbinding portion thereof, may also be conjugated with biotin, anddetected through indirect measurement of avidin or streptavidin binding.It should be noted that the avidin itself can be conjugated with anenzyme or a fluorescent label.

A CAR, a T cell expressing a CAR, an antibody, or antigen bindingportion thereof, may be conjugated with a paramagnetic agent, such asgadolinium. Paramagnetic agents such as superparamagnetic iron oxide arealso of use as labels. Antibodies can also be conjugated withlanthanides (such as europium and dysprosium), and manganese. Anantibody or antigen binding fragment may also be labeled with apredetermined polypeptide epitopes recognized by a secondary reporter(such as leucine zipper pair sequences, binding sites for secondaryantibodies, metal binding domains, epitope tags).

A CAR, a T cell expressing a CAR, an antibody, or antigen bindingportion thereof, can also be conjugated with a radiolabeled amino acid.The radiolabel may be used for both diagnostic and therapeutic purposes.For instance, the radiolabel may be used to detect one or more of theantigens disclosed herein and antigen expressing cells by x-ray,emission spectra, or other diagnostic techniques. Further, theradiolabel may be used therapeutically as a toxin for treatment oftumors in a subject, for example for treatment of a neuroblastoma.Examples of labels for polypeptides include, but are not limited to, thefollowing radioisotopes or radionucleotides: ³H, ¹⁴C, ¹⁵N, ³⁵S, ⁹⁰,⁹⁹Tc, ¹¹¹In, ¹²⁵I, ¹³¹I.

Means of detecting such detectable markers are well known to those ofskill in the art. Thus, for example, radiolabels may be detected usingphotographic film or scintillation counters, fluorescent markers may bedetected using a photodetector to detect emitted illumination. Enzymaticlabels are typically detected by providing the enzyme with a substrateand detecting the reaction product produced by the action of the enzymeon the substrate, and colorimetric labels are detected by simplyvisualizing the colored label.

D. Nucleotides, Expression, Vectors, and Host Cells

Further provided by an embodiment of the invention is a nucleic acidcomprising a nucleotide sequence encoding any of the CARs, an antibody,or antigen binding portion thereof, described herein (includingfunctional portions and functional variants thereof). The nucleic acidsof the invention may comprise a nucleotide sequence encoding any of theleader sequences, antigen binding domains, transmembrane domains, and/orintracellular T cell signaling domains described herein.

In some embodiments, the nucleotide sequence may be codon-modified.Without being bound to a particular theory, it is believed that codonoptimization of the nucleotide sequence increases the translationefficiency of the mRNA transcripts. Codon optimization of the nucleotidesequence may involve substituting a native codon for another codon thatencodes the same amino acid, but can be translated by tRNA that is morereadily available within a cell, thus increasing translation efficiency.Optimization of the nucleotide sequence may also reduce secondary mRNAstructures that would interfere with translation, thus increasingtranslation efficiency.

In an embodiment of the invention, the nucleic acid may comprise acodon-modified nucleotide sequence that encodes the antigen bindingdomain of the inventive CAR. In another embodiment of the invention, thenucleic acid may comprise a codon-modified nucleotide sequence thatencodes any of the CARs described herein (including functional portionsand functional variants thereof).

“Nucleic acid” as used herein includes “polynucleotide,”“oligonucleotide,” and “nucleic acid molecule,” and generally means apolymer of DNA or RNA, which can be single-stranded or double-stranded,synthesized or obtained (e.g., isolated and/or purified) from naturalsources, which can contain natural, non-natural or altered nucleotides,and which can contain a natural, non-natural or altered intemucleotidelinkage, such as a phosphoroamidate linkage or a phosphorothioatelinkage, instead of the phosphodiester found between the nucleotides ofan unmodified oligonucleotide. In some embodiments, the nucleic aciddoes not comprise any insertions, deletions, inversions, and/orsubstitutions. However, it may be suitable in some instances, asdiscussed herein, for the nucleic acid to comprise one or moreinsertions, deletions, inversions, and/or substitutions.

A recombinant nucleic acid may be one that has a sequence that is notnaturally occurring or has a sequence that is made by an artificialcombination of two otherwise separated segments of sequence. Thisartificial combination is often accomplished by chemical synthesis or,more commonly, by the artificial manipulation of isolated segments ofnucleic acids, e.g., by genetic engineering techniques, such as thosedescribed in Sambrook et al., supra. The nucleic acids can beconstructed based on chemical synthesis and/or enzymatic ligationreactions using procedures known in the art. See, for example, Sambrooket al., supra, and Ausubel et al., supra. For example, a nucleic acidcan be chemically synthesized using naturally occurring nucleotides orvariously modified nucleotides designed to increase the biologicalstability of the molecules or to increase the physical stability of theduplex formed upon hybridization (e.g., phosphorothioate derivatives andacridine substituted nucleotides). Examples of modified nucleotides thatcan be used to generate the nucleic acids include, but are not limitedto, 5-fluorouracil, 5-bromouracil, 5-chlorouracil, 5-iodouracil,hypoxanthine, xanthine, 4-acetylcytosine, 5-(carboxyhydroxymethyl)uracil, 5-carboxymethylaminomethyl-2-thiouridine,5-carboxymethylaminomethyluracil, dihydrouracil,beta-D-galactosylqueosine, inosine, N6-isopentenyladenine,1-methylguanine, 1-methylinosine, 2,2-dimethylguanine, 2-methyladenine,2-methylguanine, 3-methylcytosine, 5-methylcytosine, N6-substitutedadenine, 7-methylguanine, 5-methylaminomethyluracil,5-methoxyaminomethyl-2-thiouracil, beta-D-mannosylqueosine,5′-methoxycarboxymethyluracil, 5-methoxyuracil,2-methylthio-N6-isopentenyladenine, uracil-5-oxyacetic acid (v),wybutoxosine, pseudouracil, queosine, 2-thiocytosine,5-methyl-2-thiouracil, 2-thiouracil, 4-thiouracil, 5-methyluracil,uracil-5-oxyacetic acid methylester, 3-(3-amino-3-N-2-carboxypropyl)uracil, and 2,6-diaminopurine. Alternatively, one or more of the nucleicacids of the invention can be purchased from companies, such asIntegrated DNA Technologies (Coralville, Iowa, USA).

The nucleic acid can comprise any isolated or purified nucleotidesequence which encodes any of the CARs or functional portions orfunctional variants thereof. Alternatively, the nucleotide sequence cancomprise a nucleotide sequence which is degenerate to any of thesequences or a combination of degenerate sequences.

An embodiment also provides an isolated or purified nucleic acidcomprising a nucleotide sequence which is complementary to thenucleotide sequence of any of the nucleic acids described herein or anucleotide sequence which hybridizes under stringent conditions to thenucleotide sequence of any of the nucleic acids described herein.

The nucleotide sequence which hybridizes under stringent conditions mayhybridize under high stringency conditions. By “high stringencyconditions” is meant that the nucleotide sequence specificallyhybridizes to a target sequence (the nucleotide sequence of any of thenucleic acids described herein) in an amount that is detectably strongerthan non-specific hybridization. High stringency conditions includeconditions which would distinguish a polynucleotide with an exactcomplementary sequence, or one containing only a few scatteredmismatches from a random sequence that happened to have a few smallregions (e.g., 3-10 bases) that matched the nucleotide sequence. Suchsmall regions of complementarity are more easily melted than afull-length complement of 14-17 or more bases, and high stringencyhybridization makes them easily distinguishable. Relatively highstringency conditions would include, for example, low salt and/or hightemperature conditions, such as provided by about 0.02-0.1 M NaCl or theequivalent, at temperatures of about 50-70° C. Such high stringencyconditions tolerate little, if any, mismatch between the nucleotidesequence and the template or target strand, and are particularlysuitable for detecting expression of any of the inventive CARs. It isgenerally appreciated that conditions can be rendered more stringent bythe addition of increasing amounts of formamide.

Also provided is a nucleic acid comprising a nucleotide sequence that isat least about 70% or more, e.g., about 80%, about 90%, about 91%, about92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%,or about 99% identical to any of the nucleic acids described herein.

In an embodiment, the nucleic acids can be incorporated into arecombinant expression vector. In this regard, an embodiment providesrecombinant expression vectors comprising any of the nucleic acids. Forpurposes herein, the term “recombinant expression vector” means agenetically-modified oligonucleotide or polynucleotide construct thatpermits the expression of an mRNA, protein, polypeptide, or peptide by ahost cell, when the construct comprises a nucleotide sequence encodingthe mRNA, protein, polypeptide, or peptide, and the vector is contactedwith the cell under conditions sufficient to have the mRNA, protein,polypeptide, or peptide expressed within the cell. The vectors are notnaturally-occurring as a whole.

However, parts of the vectors can be naturally-occurring. Therecombinant expression vectors can comprise any type of nucleotides,including, but not limited to DNA and RNA, which can be single-strandedor double-stranded, synthesized or obtained in part from naturalsources, and which can contain natural, non-natural or alterednucleotides. The recombinant expression vectors can comprisenaturally-occurring or non-naturally-occurring internucleotide linkages,or both types of linkages. Preferably, the non-naturally occurring oraltered nucleotides or internucleotide linkages do not hinder thetranscription or replication of the vector.

In an embodiment, the recombinant expression vector can be any suitablerecombinant expression vector, and can be used to transform or transfectany suitable host cell. Suitable vectors include those designed forpropagation and expansion or for expression or both, such as plasmidsand viruses. The vector can be selected from the group consisting of thepUC series (Fermentas Life Sciences, Glen Burnie, Md.), the pBluescriptseries (Stratagene, LaJolla, Calif.), the pET series (Novagen, Madison,Wis.), the pGEX series (Pharmacia Biotech, Uppsala, Sweden), and the pEXseries (Clontech, Palo Alto, Calif.).

Bacteriophage vectors, such as λ{umlaut over (ν)}TIO, λ{umlaut over(ν)}T11, λZapII (Stratagene), EMBL4, and λNMI 149, also can be used.Examples of plant expression vectors include pBIO1, pBI101.2, pBHO1.3,pBI121 and pBIN19 (Clontech). Examples of animal expression vectorsinclude pEUK-C1, pMAM, and pMAMneo (Clontech). The recombinantexpression vector may be a viral vector, e.g., a retroviral vector or alentiviral vector. A lentiviral vector is a vector derived from at leasta portion of a lentivirus genome, including especially aself-inactivating lentiviral vector as provided in Milone et al., Mol.Ther. 17(8): 1453-1464 (2009). Other examples of lentivirus vectors thatmay be used in the clinic, include, for example, and not by way oflimitation, the LENTIVECTOR® gene delivery technology from OxfordBioMedica plc, the LENTIMAX™ vector system from Lentigen and the like.Nonclinical types of lentiviral vectors are also available and would beknown to one skilled in the art.

A number of transfection techniques are generally known in the art (see,e.g., Graham et al., Virology, 52: 456-467 (1973); Sambrook et al.,supra; Davis et al., Basic Methods in Molecular Biology, Elsevier(1986); and Chu et al, Gene, 13: 97 (1981).

Transfection methods include calcium phosphate co-precipitation (see,e.g., Graham et al., supra), direct micro injection into cultured cells(see, e.g., Capecchi, Cell, 22: 479-488 (1980)), electroporation (see,e.g., Shigekawa et al., BioTechniques, 6: 742-751 (1988)), liposomemediated gene transfer (see, e.g., Mannino et al., BioTechniques, 6:682-690 (1988)), lipid mediated transduction (see, e.g., Feigner et al.,Proc. Natl. Acad. Sci. USA, 84: 7413-7417 (1987)), and nucleic aciddelivery using high velocity microprojectiles (see, e.g., Klein et al,Nature, 327: 70-73 (1987)).

In an embodiment, the recombinant expression vectors can be preparedusing standard recombinant DNA techniques described in, for example,Sambrook et al., supra, and Ausubel et al., supra. Constructs ofexpression vectors, which are circular or linear, can be prepared tocontain a replication system functional in a prokaryotic or eukaryotichost cell. Replication systems can be derived, e.g., from ColEl, 2μplasmid, λ, SV40, bovine papilloma virus, and the like.

The recombinant expression vector may comprise regulatory sequences,such as transcription and translation initiation and termination codons,which are specific to the type of host cell (e.g., bacterium, fungus,plant, or animal) into which the vector is to be introduced, asappropriate, and taking into consideration whether the vector is DNA- orRNA-based. The recombinant expression vector may comprise restrictionsites to facilitate cloning.

The recombinant expression vector can include one or more marker genes,which allow for selection of transformed or transfected host cells.Marker genes include biocide resistance, e.g., resistance toantibiotics, heavy metals, etc., complementation in an auxotrophic hostto provide prototrophy, and the like. Suitable marker genes for theinventive expression vectors include, for instance, neomycin/G418resistance genes, hygromycin resistance genes, histidinol resistancegenes, tetracycline resistance genes, and ampicillin resistance genes.

The recombinant expression vector can comprise a native or nonnativepromoter operably linked to the nucleotide sequence encoding the CAR(including functional portions and functional variants thereof), or tothe nucleotide sequence which is complementary to or which hybridizes tothe nucleotide sequence encoding the CAR. The selection of promoters,e.g., strong, weak, inducible, tissue-specific anddevelopmental-specific, is within the ordinary skill of the artisan.Similarly, the combining of a nucleotide sequence with a promoter isalso within the skill of the artisan. The promoter can be a non-viralpromoter or a viral promoter, e.g., a cytomegalovirus (CMV) promoter, anSV40 promoter, an RSV promoter, or a promoter found in the long-terminalrepeat of the murine stem cell virus.

The recombinant expression vectors can be designed for either transientexpression, for stable expression, or for both. Also, the recombinantexpression vectors can be made for constitutive expression or forinducible expression.

Further, the recombinant expression vectors can be made to include asuicide gene. As used herein, the term “suicide gene” refers to a genethat causes the cell expressing the suicide gene to die. The suicidegene can be a gene that confers sensitivity to an agent, e.g., a drug,upon the cell in which the gene is expressed, and causes the cell to diewhen the cell is contacted with or exposed to the agent. Suicide genesare known in the art (see, for example, Suicide Gene Therapy: Methodsand Reviews, Springer, Caroline J. (Cancer Research UK Centre for CancerTherapeutics at the Institute of Cancer Research, Sutton, Surrey, UK),Humana Press, 2004) and include, for example, the Herpes Simplex Virus(HSV) thymidine kinase (TK) gene, cytosine daminase, purine nucleosidephosphorylase, and nitroreductase.

An embodiment further provides a host cell comprising any of therecombinant expression vectors described herein. As used herein, theterm “host cell” refers to any type of cell that can contain theinventive recombinant expression vector. The host cell can be aeukaryotic cell, e.g., plant, animal, fungi, or algae, or can be aprokaryotic cell, e.g., bacteria or protozoa. The host cell can be acultured cell or a primary cell, i.e., isolated directly from anorganism, e.g., a human. The host cell can be an adherent cell or asuspended cell, i.e., a cell that grows in suspension. Suitable hostcells are known in the art and include, for instance, DH5a E. colicells, Chinese hamster ovarian cells, monkey VERO cells, COS cells,HEK293 cells, and the like. For purposes of amplifying or replicatingthe recombinant expression vector, the host cell may be a prokaryoticcell, e.g., a DH5a cell. For purposes of producing a recombinant CAR,the host cell may be a mammalian cell. The host cell may be a humancell. While the host cell can be of any cell type, can originate fromany type of tissue, and can be of any developmental stage, the host cellmay be a peripheral blood lymphocyte (PBL) or a peripheral bloodmononuclear cell (PBMC). The host cell may be a T cell.

For purposes herein, the T cell can be any T cell, such as a cultured Tcell, e.g., a primary T cell, or a T cell from a cultured T cell line,e.g., Jurkat, SupTl, etc., or a T cell obtained from a mammal. Ifobtained from a mammal, the T cell can be obtained from numeroussources, including but not limited to blood, bone marrow, lymph node,the thymus, or other tissues or fluids. T cells can also be enriched foror purified. The T cell may be a human T cell. The T cell may be a Tcell isolated from a human. The T cell can be any type of T cell and canbe of any developmental stage, including but not limited to, CD4+/CD8+double positive T cells, CD4+ helper T cells, e.g., Th1 and Th2 cells,CD8+ T cells (e.g., cytotoxic T cells), tumor infiltrating cells, memoryT cells, memory stem cells, i.e. Tscm, naive T cells, and the like. TheT cell may be a CD8+ T cell or a CD4+ T cell.

In an embodiment, the CARs as described herein can be used in suitablenon-T cells. Such cells are those with an immune-effector function, suchas, for example, NK cells, and T-like cells generated from pluripotentstem cells.

Also provided by an embodiment is a population of cells comprising atleast one host cell described herein. The population of cells can be aheterogeneous population comprising the host cell comprising any of therecombinant expression vectors described, in addition to at least oneother cell, e.g., ahost cell (e.g., aT cell), which does not compriseany of the recombinant expression vectors, or a cell other than a Tcell, e.g., a B cell, a macrophage, a neutrophil, an erythrocyte, ahepatocyte, an endothelial cell, an epithelial cell, a muscle cell, abrain cell, etc. Alternatively, the population of cells can be asubstantially homogeneous population, in which the population comprisesmainly host cells (e.g., consisting essentially of) comprising therecombinant expression vector. The population also can be a clonalpopulation of cells, in which all cells of the population are clones ofa single host cell comprising a recombinant expression vector, such thatall cells of the population comprise the recombinant expression vector.In one embodiment of the invention, the population of cells is a clonalpopulation comprising host cells comprising a recombinant expressionvector as described herein.

CARs (including functional portions and variants thereof), nucleicacids, recombinant expression vectors, host cells (including populationsthereof), and antibodies (including antigen binding portions thereof),can be isolated and/or purified. For example, a purified (or isolated)host cell preparation is one in which the host cell is more pure thancells in their natural environment within the body. Such host cells maybe produced, for example, by standard purification techniques. In someembodiments, a preparation of a host cell is purified such that the hostcell represents at least about 50%, for example at least about 70%, ofthe total cell content of the preparation. For example, the purity canbe at least about 50%, can be greater than about 60%, about 70% or about80%, or can be about 100%.

E. Methods of Treatment

It is contemplated that the CARs disclosed herein can be used in methodsof treating or preventing a disease in a mammal. In this regard, anembodiment provides a method of treating or preventing cancer in amammal, comprising administering to the mammal the CARs, the nucleicacids, the recombinant expression vectors, the host cells, thepopulation of cells, the antibodies and/or the antigen binding portionsthereof, and/or the pharmaceutical compositions in an amount effectiveto treat or prevent cancer in the mammal.

An embodiment further comprises lymphodepleting the mammal prior toadministering the CARs disclosed herein. Examples of lymphodepletioninclude, but may not be limited to, nonmyeloablative lymphodepletingchemotherapy, myeloablative lymphodepleting chemotherapy, total bodyirradiation, etc.

For purposes of the methods, wherein host cells or populations of cellsare administered, the cells can be cells that are allogeneic orautologous to the mammal. Preferably, the cells are autologous to themammal. As used herein, allogeneic means any material derived from adifferent animal of the same species as the individual to whom thematerial is introduced. Two or more individuals are said to beallogeneic to one another when the genes at one or more loci are notidentical. In some aspects, allogeneic material from individuals of thesame species may be sufficiently unlike genetically to interactantigenically. As used herein, “autologous” means any material derivedfrom the same individual to whom it is later to be re-introduced intothe individual.

The mammal referred to herein can be any mammal. As used herein, theterm “mammal” refers to any mammal, including, but not limited to,mammals of the order Rodentia, such as mice and hamsters, and mammals ofthe order Logomorpha, such as rabbits. The mammals may be from the orderCarnivora, including Felines (cats) and Canines (dogs). The mammals maybe from the order Artiodactyla, including Bovines (cows) and Swines(pigs) or of the order Perssodactyla, including Equines (horses). Themammals may be of the order Primates, Ceboids, or Simoids (monkeys) orof the order Anthropoids (humans and apes). Preferably, the mammal is ahuman.

With respect to the methods, the cancer can be any cancer, including anyof acute lymphocytic cancer, acute myeloid leukemia, alveolarrhabdomyosarcoma, bladder cancer (e.g., bladder carcinoma), bone cancer,brain cancer (e.g., medulloblastoma), breast cancer, cancer of the anus,anal canal, or anorectum, cancer of the eye, cancer of the intrahepaticbile duct, cancer of the joints, cancer of the neck, gallbladder, orpleura, cancer of the nose, nasal cavity, or middle ear, cancer of theoral cavity, cancer of the vulva, chronic lymphocytic leukemia, chronicmyeloid cancer, colon cancer, esophageal cancer, cervical cancer,fibrosarcoma, gastrointestinal carcinoid tumor, head and neck cancer(e.g., head and neck squamous cell carcinoma), Hodgkin lymphoma,hypopharynx cancer, kidney cancer, larynx cancer, leukemia, liquidtumors, liver cancer, lung cancer (e.g., non-small cell lung carcinomaand lung adenocarcinoma), lymphoma, mesothelioma, mastocytoma, melanoma,multiple myeloma, nasopharynx cancer, non-Hodgkin lymphoma, B-chroniclymphocytic leukemia, hairy cell leukemia, acute lymphocytic leukemia(ALL), and Burkitt's lymphoma, ovarian cancer, pancreatic cancer,peritoneum, omentum, and mesentery cancer, pharynx cancer, prostatecancer, rectal cancer, renal cancer, skin cancer, small intestinecancer, soft tissue cancer, solid tumors, synovial sarcoma, gastriccancer, testicular cancer, thyroid cancer, and ureter cancer.

The terms “treat,” and “prevent” as well as words stemming therefrom, asused herein, do not necessarily imply 100% or complete treatment orprevention. Rather, there are varying degrees of treatment or preventionof which one of ordinary skill in the art recognizes as having apotential benefit or therapeutic effect. In this respect, the methodscan provide any amount or any level of treatment or prevention of cancerin a mammal.

Furthermore, the treatment or prevention provided by the method caninclude treatment or prevention of one or more conditions or symptoms ofthe disease, e.g., cancer, being treated or prevented. Also, forpurposes herein, “prevention” can encompass delaying the onset of thedisease, or a symptom or condition thereof.

Another embodiment provides a method of detecting the presence of cancerin a mammal, comprising: (a) contacting a sample comprising one or morecells from the mammal with the CARs, the nucleic acids, the recombinantexpression vectors, the host cells, the population of cells, theantibodies, and/or the antigen binding portions thereof, or thepharmaceutical compositions, thereby forming a complex, (b) anddetecting the complex, wherein detection of the complex is indicative ofthe presence of cancer in the mammal.

The sample may be obtained by any suitable method, e.g., biopsy ornecropsy. A biopsy is the removal of tissue and/or cells from anindividual. Such removal may be to collect tissue and/or cells from theindividual in order to perform experimentation on the removed tissueand/or cells. This experimentation may include experiments to determineif the individual has and/or is suffering from a certain condition ordisease-state. The condition or disease may be, e.g., cancer.

With respect to an embodiment of the method of detecting the presence ofa proliferative disorder, e.g., cancer, in a mammal, the samplecomprising cells of the mammal can be a sample comprising whole cells,lysates thereof, or a fraction of the whole cell lysates, e.g., anuclear or cytoplasmic fraction, a whole protein fraction, or a nucleicacid fraction. If the sample comprises whole cells, the cells can be anycells of the mammal, e.g., the cells of any organ or tissue, includingblood cells or endothelial cells.

The contacting can take place in vitro or in vivo with respect to themammal. Preferably, the contacting is in vitro.

Also, detection of the complex can occur through any number of waysknown in the art. For instance, the CARs disclosed herein, polypeptides,proteins, nucleic acids, recombinant expression vectors, host cells,populations of cells, or antibodies, or antigen binding portionsthereof, described herein, can be labeled with a detectable label suchas, for instance, a radioisotope, a fluorophore (e.g., fluoresceinisothiocyanate (FITC), phycoerythrin (PE)), an enzyme (e.g., alkalinephosphatase, horseradish peroxidase), and element particles (e.g., goldparticles) as disclosed supra.

Methods of testing a CAR for the ability to recognize target cells andfor antigen specificity are known in the art. For instance, Clay et al.,J. Immunol, 163: 507-513 (1999), teaches methods of measuring therelease of cytokines (e.g., interferon-γ, granulocyte/monocyte colonystimulating factor (GM-CSF), tumor necrosis factor a (TNF-a) orinterleukin 2 (IL-2)). In addition, CAR function can be evaluated bymeasurement of cellular cytotoxicity, as described in Zhao et al, J.Immunol, 174: 4415-4423 (2005).

Another embodiment provides for the use of the CARs, nucleic acids,recombinant expression vectors, host cells, populations of cells,antibodies, or antigen binding portions thereof, and/or pharmaceuticalcompositions of the invention, for the treatment or prevention of aproliferative disorder, e.g., cancer, in a mammal. The cancer may be anyof the cancers described herein.

Any method of administration can be used for the disclosed therapeuticagents, including local and systemic administration. For exampletopical, oral, intravascular such as intravenous, intramuscular,intraperitoneal, intranasal, intradermal, intrathecal and subcutaneousadministration can be used. The particular mode of administration andthe dosage regimen will be selected by the attending clinician, takinginto account the particulars of the case (for example the subject, thedisease, the disease state involved, and whether the treatment isprophylactic). In cases in which more than one agent or composition isbeing administered, one or more routes of administration may be used;for example, a chemotherapeutic agent may be administered orally and anantibody or antigen binding fragment or conjugate or composition may beadministered intravenously. Methods of administration include injectionfor which the CAR, CAR T Cell, conjugates, antibodies, antigen bindingfragments, or compositions are provided in a nontoxic pharmaceuticallyacceptable carrier such as water, saline, Ringer's solution, dextrosesolution, 5% human serum albumin, fixed oils, ethyl oleate, orliposomes. In some embodiments, local administration of the disclosedcompounds can be used, for instance by applying the antibody or antigenbinding fragment to a region of tissue from which a tumor has beenremoved, or a region suspected of being prone to tumor development. Insome embodiments, sustained intra-tumoral (or near-tumoral) release ofthe pharmaceutical preparation that includes a therapeutically effectiveamount of the antibody or antigen binding fragment may be beneficial. Inother examples, the conjugate is applied as an eye drop topically to thecornea, or intravitreally into the eye.

The disclosed therapeutic agents can be formulated in unit dosage formsuitable for individual administration of precise dosages. In addition,the disclosed therapeutic agents may be administered in a single dose orin a multiple dose schedule. A multiple dose schedule is one in which aprimary course of treatment may be with more than one separate dose, forinstance 1-10 doses, followed by other doses given at subsequent timeintervals as needed to maintain or reinforce the action of thecompositions. Treatment can involve daily or multi-daily doses ofcompound(s) over a period of a few days to months, or even years. Thus,the dosage regime will also, at least in part, be determined based onthe particular needs of the subject to be treated and will be dependentupon the judgment of the administering practitioner.

Typical dosages of the antibodies or conjugates can range from about0.01 to about 30 mg/kg, such as from about 0.1 to about 10 mg/kg.

In particular examples, the subject is administered a therapeuticcomposition that includes one or more of the conjugates, antibodies,compositions, CARs, CAR T cells or additional agents, on a multipledaily dosing schedule, such as at least two consecutive days, 10consecutive days, and so forth, for example for a period of weeks,months, or years. In one example, the subject is administered theconjugates, antibodies, compositions or additional agents for a periodof at least 30 days, such as at least 2 months, at least 4 months, atleast 6 months, at least 12 months, at least 24 months, or at least 36months.

In some embodiments, the disclosed methods include providing surgery,radiation therapy, and/or chemotherapeutics to the subject incombination with a disclosed antibody, antigen binding fragment,conjugate, CAR or T cell expressing a CAR (for example, sequentially,substantially simultaneously, or simultaneously). Methods andtherapeutic dosages of such agents and treatments are known to thoseskilled in the art, and can be determined by a skilled clinician.Preparation and dosing schedules for the additional agent may be usedaccording to manufacturer's instructions or as determined empirically bythe skilled practitioner. Preparation and dosing schedules for suchchemotherapy are also described in Chemotherapy Service, (1992) Ed., M.C. Perry, Williams & Wilkins, Baltimore, Md.

In some embodiments, the combination therapy can include administrationof a therapeutically effective amount of an additional cancer inhibitorto a subject. Non-limiting examples of additional therapeutic agentsthat can be used with the combination therapy include microtubulebinding agents, DNA intercalators or cross-linkers, DNA synthesisinhibitors, DNA and RNA transcription inhibitors, antibodies, enzymes,enzyme inhibitors, gene regulators, and angiogenesis inhibitors. Theseagents (which are administered at a therapeutically effective amount)and treatments can be used alone or in combination. For example, anysuitable anti-cancer or anti-angiogenic agent can be administered incombination with the CARS, CAR-T cells, antibodies, antigen bindingfragment, or conjugates disclosed herein. Methods and therapeuticdosages of such agents are known to those skilled in the art, and can bedetermined by a skilled clinician.

Additional chemotherapeutic agents include, but are not limited toalkylating agents, such as nitrogen mustards (for example, chlorambucil,chlormethine, cyclophosphamide, ifosfamide, and melphalan), nitrosoureas(for example, carmustine, fotemustine, lomustine, and streptozocin),platinum compounds (for example, carboplatin, cisplatin, oxaliplatin,and BBR3464), busulfan, dacarbazine, mechlorethamine, procarbazine,temozolomide, thiotepa, and uramustine; antimetabolites, such as folicacid (for example, methotrexate, pemetrexed, and raltitrexed), purine(for example, cladribine, clofarabine, fludarabine, mercaptopurine, andtioguanine), pyrimidine (for example, capecitabine), cytarabine,fluorouracil, and gemcitabine; plant alkaloids, such as podophyllum (forexample, etoposide, and teniposide), taxane (for example, docetaxel andpaclitaxel), vinca (for example, vinblastine, vincristine, vindesine,and vinorelbine); cytotoxic/antitumor antibiotics, such as anthracyclinefamily members (for example, daunorubicin, doxorubicin, epirubicin,idarubicin, mitoxantrone, and valrubicin), bleomycin, rifampicin,hydroxyurea, and mitomycin; topoisomerase inhibitors, such as topotecanand irinotecan; monoclonal antibodies, such as alemtuzumab, bevacizumab,cetuximab, gemtuzumab, rituximab, panitumumab, pertuzumab, andtrastuzumab; photosensitizers, such as aminolevulinic acid, methylaminolevulinate, porfimer sodium, and verteporfin; and other agents,such as alitretinoin, altretamine, amsacrine, anagrelide, arsenictrioxide, asparaginase, axitinib, bexarotene, bevacizumab, bortezomib,celecoxib, denileukin diftitox, erlotinib, estramustine, gefitinib,hydroxycarbamide, imatinib, lapatinib, pazopanib, pentostatin,masoprocol, mitotane, pegaspargase, tamoxifen, sorafenib, sunitinib,vemurafinib, vandetanib, and tretinoin. Selection and therapeuticdosages of such agents are known to those skilled in the art, and can bedetermined by a skilled clinician.

The combination therapy may provide synergy and prove synergistic, thatis, the effect achieved when the active ingredients used together isgreater than the sum of the effects that results from using thecompounds separately. A synergistic effect may be attained when theactive ingredients are: (1) co-formulated and administered or deliveredsimultaneously in a combined, unit dosage formulation; (2) delivered byalternation or in parallel as separate formulations; or (3) by someother regimen. When delivered in alternation, a synergistic effect maybe attained when the compounds are administered or deliveredsequentially, for example by different injections in separate syringes.In general, during alternation, an effective dosage of each activeingredient is administered sequentially, i.e. serially, whereas incombination therapy, effective dosages of two or more active ingredientsare administered together.

In one embodiment, an effective amount of an antibody or antigen bindingfragment that specifically binds to one or more of the antigensdisclosed herein or a conjugate thereof is administered to a subjecthaving a tumor following anti-cancer treatment. After a sufficientamount of time has elapsed to allow for the administered antibody orantigen binding fragment or conjugate to form an immune complex with theantigen expressed on the respective cancer cell, the immune complex isdetected. The presence (or absence) of the immune complex indicates theeffectiveness of the treatment. For example, an increase in the immunecomplex compared to a control taken prior to the treatment indicatesthat the treatment is not effective, whereas a decrease in the immunecomplex compared to a control taken prior to the treatment indicatesthat the treatment is effective.

F. Biopharmaceutical Compositions

Biopharmaceutical or biologics compositions (hereinafter,“compositions”) are provided herein for use in gene therapy,immunotherapy and/or cell therapy that include one or more of thedisclosed CARs, or T cells expressing a CAR, antibodies, antigen bindingfragments, conjugates, CARs, or T cells expressing a CAR thatspecifically bind to one or more antigens disclosed herein, in a carrier(such as a pharmaceutically acceptable carrier). The compositions can beprepared in unit dosage forms for administration to a subject. Theamount and timing of administration are at the discretion of thetreating clinician to achieve the desired outcome. The compositions canbe formulated for systemic (such as intravenous) or local (such asintra-tumor) administration. In one example, a disclosed CARs, or Tcells expressing a CAR, antibody, antigen binding fragment, conjugate,is formulated for parenteral administration, such as intravenousadministration. Compositions including a CAR, or T cell expressing aCAR, a conjugate, antibody or antigen binding fragment as disclosedherein are of use, for example, for the treatment and detection of atumor, for example, and not by way of limitation, a neuroblastoma. Insome examples, the compositions are useful for the treatment ordetection of a carcinoma. The compositions including a CAR, or T cellexpressing a CAR, a conjugate, antibody or antigen binding fragment asdisclosed herein are also of use, for example, for the detection ofpathological angiogenesis.

The compositions for administration can include a solution of the CAR,or T cell expressing a CAR, conjugate, antibody or antigen bindingfragment dissolved in a pharmaceutically acceptable carrier, such as anaqueous carrier. A variety of aqueous carriers can be used, for example,buffered saline and the like. These solutions are sterile and generallyfree of undesirable matter. These compositions may be sterilized byconventional, well known sterilization techniques. The compositions maycontain pharmaceutically acceptable auxiliary substances as required toapproximate physiological conditions such as pH adjusting and bufferingagents, toxicity adjusting agents, adjuvant agents, and the like, forexample, sodium acetate, sodium chloride, potassium chloride, calciumchloride, sodium lactate and the like. The concentration of a CAR, or Tcell expressing a CAR, antibody or antigen binding fragment or conjugatein these formulations can vary widely, and will be selected primarilybased on fluid volumes, viscosities, body weight and the like inaccordance with the particular mode of administration selected and thesubject's needs. Actual methods of preparing such dosage forms for usein in gene therapy, immunotherapy and/or cell therapy are known, or willbe apparent, to those skilled in the art.

A typical composition for intravenous administration includes about 0.01to about 30 mg/kg of antibody or antigen binding fragment or conjugateper subject per day (or the corresponding dose of a CAR, or T cellexpressing a CAR, conjugate including the antibody or antigen bindingfragment). Actual methods for preparing administrable compositions willbe known or apparent to those skilled in the art and are described inmore detail in such publications as Remington's Pharmaceutical Science,19th ed., Mack Publishing Company, Easton, Pa. (1995).

A CAR, or T cell expressing a CAR, antibodies, antigen bindingfragments, or conjugates may be provided in lyophilized form andrehydrated with sterile water before administration, although they arealso provided in sterile solutions of known concentration. The CARs, orT cells expressing a CAR, antibody or antigen binding fragment orconjugate solution is then added to an infusion bag containing 0.9%sodium chloride, USP, and in some cases administered at a dosage of from0.5 to 15 mg/kg of body weight. Considerable experience is available inthe art in the administration of antibody or antigen binding fragmentand conjugate drugs; for example, antibody drugs have been marketed inthe U.S. since the approval of RrruxAN® in 1997. A CAR, or T cellexpressing a CAR, antibodies, antigen binding fragments and conjugatesthereof can be administered by slow infusion, rather than in anintravenous push or bolus. In one example, a higher loading dose isadministered, with subsequent, maintenance doses being administered at alower level. For example, an initial loading dose of 4 mg/kg antibody orantigen binding fragment (or the corresponding dose of a conjugateincluding the antibody or antigen binding fragment) may be infused overa period of some 90 minutes, followed by weekly maintenance doses for4-8 weeks of 2 mg/kg infused over a 30 minute period if the previousdose was well tolerated.

Controlled release parenteral formulations can be made as implants, oilyinjections, or as particulate systems. For a broad overview of proteindelivery systems see, Banga, A. J., Therapeutic Peptides and Proteins:Formulation, Processing, and Delivery Systems, Technomic PublishingCompany, Inc., Lancaster, Pa., (1995). Particulate systems includemicrospheres, microparticles, microcapsules, nanocapsules, nanospheres,and nanoparticles. Microcapsules contain the therapeutic protein, suchas a cytotoxin or a drug, as a central core. In microspheres, thetherapeutic is dispersed throughout the particle. Particles,microspheres, and microcapsules smaller than about 1 μm are generallyreferred to as nanoparticles, nanospheres, and nanocapsules,respectively. Capillaries have a diameter of approximately 5 μm so thatonly nanoparticles are administered intravenously. Microparticles aretypically around 100 μm in diameter and are administered subcutaneouslyor intramuscularly. See, for example, Kreuter, J., Colloidal DrugDelivery Systems, J. Kreuter, ed., Marcel Dekker, Inc., New York, N.Y.,pp. 219-342 (1994); and Tice & Tabibi, Treatise on Controlled DrugDelivery, A. Kydonieus, ed., Marcel Dekker, Inc. New York, N.Y., pp.315-339, (1992).

Polymers can be used for ion-controlled release of the CARs, or T cellsexpressing a CAR, antibody or antigen binding fragment or conjugatecompositions disclosed herein. Various degradable and nondegradablepolymeric matrices for use in controlled drug delivery are known in theart (Langer, Accounts Chem. Res. 26:537-542, 1993). For example, theblock copolymer, polaxamer 407, exists as a viscous yet mobile liquid atlow temperatures but forms a semisolid gel at body temperature. It hasbeen shown to be an effective vehicle for formulation and sustaineddelivery of recombinant interleukin-2 and urease (Johnston et al.,Pharm. Res. 9:425-434, 1992; and Pec et al., J. Parent. Sci. Tech.44(2):58-65, 1990). Alternatively, hydroxyapatite has been used as amicrocarrier for controlled release of proteins (Ijntema et al., Int. J.Pharm. 112:215-224, 1994). In yet another aspect, liposomes are used forcontrolled release as well as drug targeting of the lipid-capsulateddrug (Betageri et al., Liposome Drug Delivery Systems, TechnomicPublishing Co., Inc., Lancaster, Pa. (1993)). Numerous additionalsystems for controlled delivery of therapeutic proteins are known (seeU.S. Pat. Nos. 5,055,303; 5,188,837; 4,235,871; 4,501,728; 4,837,028;4,957,735; 5,019,369; 5,055,303; 5,514,670; 5,413,797; 5,268,164;5,004,697; 4,902,505; 5,506,206; 5,271,961; 5,254,342 and 5,534,496).

G. Kits

In one aspect, kits employing the CARs disclosed herein are alsoprovided. For example, kits for treating a tumor in a subject, or makinga CAR T cell that expresses one or more of the CARs disclosed herein.The kits will typically include a disclosed antibody, antigen bindingfragment, conjugate, nucleic acid molecule, CAR or T cell expressing aCAR as disclosed herein. More than one of the disclosed antibodies,antigen binding fragments, conjugates, nucleic acid molecules, CARs or Tcells expressing a CAR can be included in the kit.

The kit can include a container and a label or package insert on orassociated with the container. Suitable containers include, for example,bottles, vials, syringes, etc. The containers may be formed from avariety of materials such as glass or plastic. The container typicallyholds a composition including one or more of the disclosed antibodies,antigen binding fragments, conjugates, nucleic acid molecules, CARs or Tcells expressing a CAR. In several embodiments the container may have asterile access port (for example the container may be an intravenoussolution bag or a vial having a stopper pierceable by a hypodermicinjection needle). A label or package insert indicates that thecomposition is used for treating the particular condition.

The label or package insert typically will further include instructionsfor use of a disclosed antibodies, antigen binding fragments,conjugates, nucleic acid molecules, CARs or T cells expressing a CAR,for example, in a method of treating or preventing a tumor or of makinga CAR T cell. The package insert typically includes instructionscustomarily included in commercial packages of therapeutic products thatcontain information about the indications, usage, dosage,administration, contraindications and/or warnings concerning the use ofsuch therapeutic products. The instructional materials may be written,in an electronic form (such as a computer diskette or compact disk) ormay be visual (such as video files). The kits may also includeadditional components to facilitate the particular application for whichthe kit is designed. Thus, for example, the kit may additionally containmeans of detecting a label (such as enzyme substrates for enzymaticlabels, filter sets to detect fluorescent labels, appropriate secondarylabels such as a secondary antibody, or the like). The kits mayadditionally include buffers and other reagents routinely used for thepractice of a particular method. Such kits and appropriate contents arewell known to those of skill in the art.

EXAMPLES

This invention is further illustrated by the following examples, whichare not to be construed in any way as imposing limitations upon thescope thereof. On the contrary, it is to be clearly understood thatresort may be had to various other embodiments, modifications, andequivalents thereof which, after reading the description herein, maysuggest themselves to those skilled in the art without departing fromthe spirit of the present invention and/or the scope of the appendedclaims.

Example 1

Isolation of ROR1-Specific Binders from a Fully Human Phage andYeast-Displayed ScFv Library

Materials and Methods:

a) Production of Fully Human ScFc (ScFv with Fc Domain for Analysis)Binders Against Human ROR1

A naïve human ScFv (recombinant single chain fragment variable ofimmunoglobulin) phage display library (approximate diversity, 10¹⁰unique specificities), constructed from peripheral blood B cells of 50healthy donors (Z. Y. Zhu and D. S. Dimitrov, unpublished data), wereused for selection of ScFvs for recombinant human ROR1 protein.Amplified libraries of 10¹² phage-displayed ScFv were incubated with 5,3, and 1, μg of coated ROR1 in a 5×100-μl volume, distributed equally in5 wells of a 96-well plate for 2 h at room temperature during the first,second and third rounds of biopanning, respectively. After each round ofincubation, the wells were washed 5 times for the first round and 10times for the later rounds with phosphate-buffered saline containing0.05% Tween 20 (PBST) to remove nonspecifically bound phage, the boundphage were mixed with TG1 competent cells for 1 hour at 37° C., and thephage was amplified from the infected cells and used in the next roundof biopanning. After the third round of biopanning, 380 clones wererandomly picked from the infected TG1 cells and each inoculated into 150μl 2YT medium containing 100 μg/ml carbenicillin and 0.2% glucose in96-well plates. After the bacterial cultures reached an optical densityat 600 nm (OD600) of 0.5, helper phage M13K07 at a multiplicity ofinfection (MOI) of 10 and kanamycin at 50 μg/ml (final concentration)were added to the medium, and the plates were further incubated at 30°C. overnight in a shaker at 250 rpm. The phage supernatants were mixedwith 3% nonfat milk in PBS at a 4:1 volume ratio and used forenzyme-linked immunosorbent assay (ELISA) to identify clones of phagedisplaying ScFvs with high ROR1 binding affinity. The supernatants wereincubated for 2 h at room temperature with recombinant human ROR1 coatedat 50 ng per well in 96-well plates and washed five times with PBST,(after overnight incubation at 4° C. it was blocked with 3% nonfat milkin PBS and washed three times with PBS containing 0.05% Tween 20.)ROR1-bound phages were detected using horseradish peroxidase-conjugatedgoat anti-M13 antibody. After incubation with the target antigen, thenonspecifically bound antibody was removed by washing wells, and the3,3,′5,5′-tetramethylbenzidine (TMB) substrate was added, and solutionabsorbance at 450 nm (A450) measured. Clones that bound to ROR1 withA450 of >1.0 were selected for further characterization.

b) Expression and Purification of Selected Soluble ScFvs.

The VH and VL of the selected clones were DNA sequenced, and the ScFvsencoded by clones with unique sequences were expressed and purified asdescribed below. Plasmids extracted from these clones were used fortransformation of HB2151 cells. A single colony was picked from theplate containing freshly transformed cells, inoculated into 200 ml 2YTmedium containing 100 g/ml ampicillin and 0.2% glucose, and incubated at37° C. with shaking at 250 rpm. When the culture OD at 600 nm reached0.90, isopropyl-β-d-thiogalactopyranoside at a 0.5 mM finalconcentration was added, and the culture was further incubated overnightat 30° C. The bacterial pellet was collected after centrifugation at8,000×g for 20 min and resuspended in PBS buffer containing 0.5 mUpolymixin B (Sigma-Aldrich, St. Louis, Mo.). After 30 min incubationwith rotation at 50 rpm at room temperature, the resuspended pellet wascentrifuged at 25,000×g for 25 min at 4° C., and the supernatant wasused for ScFv purification using the Ni-NTA resin following vendorprotocol (Qiagen).

c) ELISA Binding Assay

50 μl of the diluted recombinant human ROR1 in PBS at 2 ug/ml was coatedin a 96-well plate at 4° C. overnight. Purified ScFv with His and Flagtags were serially diluted and added into the target protein coatedwells. After washing, a 1:3000 diluted HRP conjugated anti-Flag antibodywas added for 1 hr at RT. After washing, 3, 3, 5,5′-Tetramethylbenzidine (TMB) substrate was added, IN H₂SO₄ was added tostop the reaction after incubation at room temperature for 10 minutes,and the O.D. was read at 450 nm to quantify the relative ability of ScFvto bind ROR1.

Results:

Two ScFv clones specific for recombinant human ROR1 were identified. andlabeled as human anti-ROR1 ScFv binders ScFv4 and ScFv9. The paucity ofbinding results indicates that these two binders are entirely unique andimportant new binding moieties for ROR1 that can be formulated into CARand immunoglobulin therapeutic constructs. The generation of chimericantigen receptors expressing the LTG1941, LTG1942, LTG2528, and LTG2529human anti-ROR1 binders is outlined in Example 2, infra.

Example 2

CARs Expressing Anti-ROR1 Fully Human Binding Sequences.

Homo sapiens ROR1 (receptor tyrosine kinas-like orphan receptor 1) is awell-investigated oncoembryonic cell surface glycoprotein expressed onchronic lymphocytic leukemia (CLL) and various solid tumors such assubsets of sarcoma, carcinomas, or adenocarcinoma of the lung. A phaseone study of anti-ROR1 antibody UC-961 (Cirtuzumab) for relapsed orrefractory chronic lymphocytic leukemia is currently active (Sponsor,Thomas Kipps, NCT02222688). Results for this first-in-class study arepending. Also in early stage is a phase 1 clinical trial with a CAR-Tspecific for ROR1 (Sponsor, Fred Hutchinson Cancer Research Center,NCT02706392). We have included a published ROR1 binder as our control(LTG1943, LTG2527), see Hudecek et al., 2013, Clin Cancer Res19:3153-3164 to benchmark our studies and to demonstrate the activity ofour constructs. Given the current advances with T-cell based therapy,including the recent commercial offering of anti-CD19 CARs, thedevelopment of cell-based immunotherapy for CLL and other malignanciesexpressing ROR1 featuring the CAR constructs presented here are aninnovative new approach to treating human disease using binding moietiesderived from human sequences.

The novel anti-ROR1 CAR-T constructs described here have high levels ofcell surface expression in primary human T cells and specific and potentcytotoxic and cytokine functions against ROR1-positive tumor cells. ROR1CARs were designed using ROR1 binding sequences derived from ScFvcandidates identified by phage display, as in Example 1, and forcharacterization were cloned into lentiviral expression vectors thatcontained selected structural and signaling domains under the control ofthe EF 1 a promoter and tested in vitro for transduction efficiency,killing function and cytokine production in both model cell lines andprimary human T cells. Table 1 summarizes the nomenclature used. CARConstruct LTG1943 is the relevant comparator, as this sequence has beenproposed for clinical use (See KTE-C19, Kite Pharma, and CTL019,Novartis).

TABLE 1 Construct LTG numbers and corresponding ScFv binder designationsused in the design of fully human ROR1 CARs CAR Construct LTG# huCAR19ScFv binder UTD Untransduced T cell control 1538 FMC63 murine CAR19control 1398 GFP expression vector 1941 ScFv4 1942 ScFv9 2528 ScFv4 2529ScFv9 1943 Control-ScFv 2527 Control-ScFv

Materials and Methods

(a) Cell Lines

All cell lines and reagents were purchased from American Tissue CultureCollection (ATCC, Manassass, Va.), unless otherwise noted. The acutelymphocytic leukemia cell line REH and the mantle cell lymphoma lineJeko-1 (ACC-553 DSMZ, Leibniz Institute DSMZ, Braunschwieg, Germany), aswell as the chronic myelogenous leukemia line K562 were cultured inRPMI-1640 medium supplemented with 10% heat-inactivated fetal bovineserum (FBS, Hyclone, Logan, Utah) and 2 mM L-Glutamax (Thermo FisherScientific, Grand Island, N.Y.).

(b) Creation of Chimeric Antigen Receptor (CAR)—Expression Vectors

ROR1 CAR constructs were generated by linking each scFv in frame toeither CD8 hinge and transmembrane domains (aa 141182-191, UniProt IDP01732), or IgG4 hinge domain (aa 99-110, UniProt sequence ID P01861),followed by CD8 transmembrane domain (aa 183-203, UniProt sequence IDP01732), 4-1BB (CD137, aa 214-255, UniProt sequence ID Q07011)transactivation domain and CD3 zeta signaling domain (CD247, aa 52-163,Ref sequence ID: NP_000725.1.). Leader sequence from human granulocytemacrophage colony stimulating factor receptor alpha subunit was includedin all constructs in order to facilitate CAR trafficking to the T cellmembrane. CAR constructs sequences were codon optimized and cloned intoa third generation lentiviral plasmid backbone (Lentigen TechnologyInc., Gaithersburg, Md.).

(c) Primary T Cell Purification and Transduction

Human primary T cells from healthy volunteers were purified from wholeblood or buffy coats (purchased from commercial provider with donor'swritten consent) using immunomagnetic bead selection of CD4⁺ and CD8⁺cells according to manufacturer's protocol (Miltenyi Biotec, BergischGladbach, Germany). T cells were cultivated in TexMACS mediumsupplemented with 200 IU/ml IL-2 at a density of 0.3 to 2×10⁶ cells/ml,activated with CD3/CD28 MACS® GMP T Cell TransAct reagent (MiltenyiBiotec) and transduced on day 2 with lentiviral vectors encoding CARconstructs in the presence of 10 ug/ml protamine sulfate (Sigma-Aldrich,St. Louis, Mo.) overnight, and media exchanged on day 3. Cultures werepropagated in TexMACS medium supplemented with 200 IU/ml IL-2 untilharvest on day 8-12.

(d) Immune Effector Assays (CTL and Cytokine)

To determine cell-mediated cytotoxicity (CTL assay), 5,000 target cellsstably transduced with firefly luciferase were combined with CAR T cellsat various effector to target ratios (E:T) and incubated overnight.SteadyGlo reagent (Promega, Madison Wis.) was added to each well and theresulting luminescence was analyzed on an EnSpire plate reader (PerkinElmer, Shelton, Conn.) and recorded as counts per second (sample CPS).Target only wells (max CPS) and target only wells plus 1% Tween-20 (minCPS) were used to determine assay range. Percent specific lysis wascalculated as: (1-(sample CPS-min CPS)/(max CPS-min CPS)). Cytokinerelease assay was performed on supernatants harvested post co incubationof effector and tumor cell lines at E:T ratio of 10. Cytokines IFNg,than and IL-2 were measured by ELISA in triplicates (Thermo Fischer,Waltham, Mass.).

(e) Flow Cytometric Analysis

For cell staining, half a million CAR T transduced cells were harvestedfrom culture, washed two times in cold AutoMACS buffer supplemented with0.5% bovine serum albumin (Miltenyi Biotec), and CAR surface expressiondetected by staining with ROR1-Fc peptide (R&D, Minneapolis, Minn.)followed by anti Fc-AF647 conjugate (Jackson ImmunoResearch, West Grove,Pa.). Non-transduced cells were used as negative controls. Dead cells inall studies were excluded by 7AAD staining (BD Biosciences, San Jose,Calif.). Cells were washed twice and resuspended in 200 ul StainingBuffer before quantitative analysis by flow cytometry. Flow cytometricanalysis was performed on a MACSQuant®10 Analyzer (Miltenyi Biotec), anddata plots were generated using FlowJo software (Ashland, Oreg.).

Results:

Fully human CAR T constructs targeting the ROR1 tumor antigen weredesigned by combining in frame the sequences of leader peptide derivedfrom GMCSFR, anti-human ROR1 ScFv, CD8 or IgG4 hinge, CD8 transmembranedomain, 4-1BB costimulatiory domain and CD3z activation domain.Schematic diagram of the CAR T constructs and list of constructsdesigned and respective ScFv targeting domains is provided (FIG. 1 andTable 1). Untransduced T cells grown under the same conditions (UTD)were included as controls.

All test and control CAR constructs were cloned into LV backboneexpression vectors under the control of human Efl-alpha promoter, andused to produce lentiviral vector particles by transfection into 293cells using a standard four-plasmid system. Activated human primary Tcells were transduced with LV supernatants encoding CAR test constructsor controls, and expanded to culture day 8-10. In flow cytometricanalysis, using recombinant a ROR1-Fc fusion protein followed by anti-FcAPC, all test CAR constructs demonstrated surface expression intransduced human T cells (FIG. 2).

TABLE 2 List of ROR1 - Targeting CAR Constructs 1941: FMC63-CD8TM-41BB-CD3 zeta, control 2525: ScFv1-CD8 TM-41BB-CD3 zeta 1942:ScFv2-CD8TM-4-1BB-CD3 zeta 2529: ScFv3-CD8TM-4-1BB-CD3 zeta 1943:ScFv4-CD8TM-4-1BB-CD3 zeta 2627: ScFv5-CD8TM-4-1BB-CD3 zetaT Cells Transduced with Anti-ROR1 Chimeric Antigen Receptors DemonstrateCytokine Expression and Cytolytic Activity.

On culture day 8-10, CAR T cells were combined with ROR1⁺ mantle celllymphoma Jeko-1, ROR1⁺ epidermoid carcinoma A431, or ROR1⁻ Reh leukemiacells at E:T ratios of 40:1, 20:1, or 10:1 to assess CAR T cytotoxicfunction (FIG. 2). Positive control CAR construct LTG1943, based on antiROR1 scFv R12 (ref. 9), and negative controls T cells transduced withlentiviral vector encoding GFP (1398) or non-transduced T cells (UTD),were included for comparison. All constructs shown (LTG1941-1943)demonstrated dose-dependent, ROR1-specific tumor killing. The greatestcytotoxicity against ROR1⁺ tumor lines (80% at E:T ratio of 40:1 inJeko-1 ROR1⁺ cells), was demonstrated by CAR construct LTG1942, whichwas comparable in magnitude of tumor killing to control CAR constructLTG1943, based on R12 anti ROR1 scFv (ref. 9). CAR construct, LTG1941was also cytotoxic to ROR1⁺ tumor lines, but to a lesser degree, andachieved maximal specific lysis of 40% for Jeko-1 cells at E:T ratio of40:1. In A431 line, which is less sensitive to CART-mediate lysis, CARLTG1941 was ineffective, however CAR LTG1942 was equally or moreeffective than the positive control CAR LTG1943.

The concentration of pro-inflammatory cytokines IFN-gamma, TNF-alpha andIL-2 secreted by CAR T cells transduced with ROR1 CAR constructs, whenchallenged by ROR1-positive and ROR1-negative tumor cell lines, was thendetermined (FIG. 3). CAR T cells alone were included for each construct,in order to test for basal levels of cytokine production. T cellstransduced with GFP (LTG1398) were included as a negative control.Levels of TNF-alpha, IFN-gamma and IL-2 were strongly induced by CAR Tcell construct LTG1942 and the positive control LTG1493, and to a lesserdegree by CARLTG1491 when challenged with ROR1⁺ Jeko-1, or A431 lines,but not to ROR1⁻ Reh control line. No cytokines induction was seen inthe negative control GFP or UTD groups. Notably, LTG1941 cytokineproduction levels were quite low indicating a differential ability toactivity T cell expressing this vector. This corresponded to the lowerlevel of cytolysis against the Jeko cell line, but not A431, whencomparing LTG1941 to LTG1942. This demonstrates first thatidentification of a binder is insufficient to determine the trueactivity of a CAR that includes this binder in its sequence.Importantly, these differences may be crucial, allowing CAR activity tobe tuned in accordance with desired target antigen density. The abilityto lyse tumor targets is intricately linked to both CAR expressionlevels on the surface of the T cells and target expression levels oftumor antigen on the target tumor cell surface (Walker, A., et al.,2017, Mol Ther 25:2189-2201). Thus, if ROR1 expression on normal T celltriggers CAR-T activity, for example by LTG1492, a construct likeLTG1941 might be used to allow differential targeting of the cancer asopposed to low expression levels on normal tissues. Furthermore, none ofthe constructs demonstrated cytokine production above baseline in theabsence of tumor cell targets. This is an important verification that noauto-activation exists as has been reported for some CAR constructs(Long, A. H. et al., 2015, Nature Med 20:581-590. Therefore, CAR Tconstructs LTG1941, LTG1942, and LTG1943 were specific for ROR1 tumorantigen as expressed on model tumor cell lines.

Overall, CAR LTG 1942 and LTG1941 demonstrated functional specificitymanifested as tumor lytic activity and elaboration of cytokines inresponse to ROR1⁺ tumors. The constructs described in this applicationare thus promising candidates for clinical applications.

Each of the applications and patents cited in this text, as well as eachdocument or reference cited in each of the applications and patents(including during the prosecution of each issued patent; “applicationcited documents”), and each of the PCT and foreign applications orpatents corresponding to and/or claiming priority from any of theseapplications and patents, and each of the documents cited or referencedin each of the application cited documents, are hereby expresslyincorporated herein by reference, and may be employed in the practice ofthe invention. More generally, documents or references are cited in thistext, either in a Reference List before the claims, or in the textitself; and, each of these documents or references (“herein citedreferences”), as well as each document or reference cited in each of theherein cited references (including any manufacturer's specifications,instructions, etc.), is hereby expressly incorporated herein byreference.

The foregoing description of some specific embodiments providessufficient information that others can, by applying current knowledge,readily modify or adapt for various applications such specificembodiments without departing from the generic concept, and, therefore,such adaptations and modifications should and are intended to becomprehended within the meaning and range of equivalents of thedisclosed embodiments. It is to be understood that the phraseology orterminology employed herein is for the purpose of description and not oflimitation. In the drawings and the description, there have beendisclosed exemplary embodiments and, although specific terms may havebeen employed, they are unless otherwise stated used in a generic anddescriptive sense only and not for purposes of limitation, the scope ofthe claims therefore not being so limited. Moreover, one skilled in theart will appreciate that certain steps of the methods discussed hereinmay be sequenced in alternative order or steps may be combined.Therefore, it is intended that the appended claims not be limited to theparticular embodiment disclosed herein. Those skilled in the art willrecognize, or be able to ascertain using no more than routineexperimentation, many equivalents to the embodiments of the inventiondescribed herein. Such equivalents are encompassed by the followingclaims.

SEQUENCES OF THE DISCLOSURE

The nucleic and amino acid sequences listed below are shown usingstandard letter abbreviations for nucleotide bases, and three lettercode for amino acids, as defined in 37 C.F.R. 1.822. Only one strand ofeach nucleic acid sequence is shown, but the complementary strand isunderstood as included by any reference to the displayed strand. In theaccompanying sequence listing:

Nucleotide Sequence of Anti-ROR1 binder: ScFV4 SEQ ID NO: 1CAGGTGCAGCTGCAGGAGTCCGGCCCAGGACTGGTGAAGCCTTCGGAGACCCTGTCCCTCACCTGCACTGTCTCTGGTGGCTCCATCAGCAGTAGTAGTTACTACTGGGGCTGGATCCGCCAGCCCCCAGGGAAGGGGCTGGAGTGGATTGGGAGTATCTATTATAGTGGGAGCACCTACTACAACCCGTCCCTCAAGAGTCGAGTCACCATACCCGTAGACACGTCCAAGAACCAGTTCTCCCTGAAGCTGAGCTCTGTGACCGCCGCAGACACGGCTGTGTATTACTGTGCGAGACACCTGGGGGGTGATGCTTTTGATATCTGGGGCCAAGGGACCACGGTCACCGTCTCCTCAGGAGGTGGCGGGTCTGGTGGTGGCGGTAGCGGTGGAGGCGGATCCCTGCCTGTGCTGACTCAGCCCCCCTCGGTGTCAGTGGCCCCAGGACAGACGGCCAGGATTACCTGTGGGGGGAACAACATTGGAAGTAAAAGTGTGCACTGGTACCAGCAGAAGCCAGGCCAGGCCCCTGTGCTGGTCGTCTATGATGATAGCGACCGGCCCTCAGGGATCCCTGAGCGATTCTCTGGCTCCAACTCTGGGAACACAGCCACTCTGACCATCAGCGGGACCCAGGCTATGGATGAGGCTGACTACTTCTGTCAGTCTTATGATAGCAGCAATCCCGTGGTATTCGGCGGAGGGACCCAGCTCACCGTTTTAAmino Acid Sequence of Anti-ROR1 binder: ScFV4 SEQ ID NO: 2QVQLQESGPGLVKPSETLSLTCTVSGGSISSSSYYVVGWIRQPPGKGLEWIGSIYYSGSTYYNPSLKSRVTIPVDTSKNQFSLKLSSVTAADTAVYYCARHLGGDAFDIWGQGTTVTVSSGGGGSGGGGSGGGGSLPVLTQPPSVSVAPGQTARITCGGNNIGSKSVHWYQQKPGQAPVLVVYDDSDRPSGIPERFSGSNSGNTATLTISGTQAMDEADYFCQSYDSSNPVVFGGGTQLTVLROR1-CAR DNA SEQ LTG1941 (LP-ScFV4-CD8H/CD8TM-41BB-CD3 zeta)SEQ ID NO: 3ATGCTGCTGCTGGTGACCAGCCTGCTGCTGTGCGAACTGCCGCATCCGGCGTTTCTGCTGATTCCGCAAGTTCAGCTGCAAGAATCAGGACCTGGGCTTGTCAAACCATCTGAAACCCTCAGCTTGACTTGTACCGTATCAGGAGGGTCAATTTCAAGCTCATCCTACTATTGGGGATGGATCAGACAACCACCCGGGAAAGGGCTCGAGTGGATAGGGTCCATATATTACAGCGGATCTACATACTACAACCCGTCATTGAAGTCCAGGGTAACGATTCCGGTGGACACTAGCAAGAATCAGTTTAGCCTCAAGTTGAGCAGTGTAACTGCTGCGGACACGGCGGTATATTATTGTGCTCGACACCTCGGTGGAGATGCTTTTGACATATGGGGTCAAGGGACAACAGTCACCGTTAGCTCAGGTGGAGGGGGTAGCGGGGGGGGCGGATCTGGGGGAGGCGGTTCATTGCCCGTACTTACACAGCCACCCTCTGTCAGCGTCGCACCTGGACAAACCGCTCGCATCACCTGTGGCGGAAATAATATAGGTTCCAAGTCTGTTCATTGGTATCAGCAGAAACCGGGACAGGCCCCCGTCCTTGTGGTGTATGATGATTCTGATAGGCCATCTGGTATCCCAGAACGGTTTTCAGGTAGCAATTCAGGGAATACTGCCACTCTCACTATTAGCGGTACTCAAGCTATGGATGAGGCCGACTATTTTTGCCAGAGCTACGACTCTAGTAACCCAGTCGTGTTCGGGGGAGGGACCCAGTTGACCGTGCTGGCGGCCGCAACTACCACCCCTGCCCCTCGGCCGCCGACTCCGGCCCCAACCATCGCAAGCCAACCCCTCTCCTTGCGCCCCGAAGCTTGCCGCCCGGCCGCGGGTGGAGCCGTGCATACCCGGGGGCTGGACTTTGCCTGCGATATCTACATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAAGAGGGGCCGGAAGAAGCTGCTTTACATCTTCAAGCAGCCGTTCATGCGGCCCGTGCAGACGACTCAGGAAGAGGACGGATGCTCGTGCAGATTCCCTGAGGAGGAAGAGGGGGGATGCGAACTGCGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATCAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGGROR1-CAR AA SEQ LTG1941 (LP-ScFV4-CD8H/CD8TM-41BB-CD3 zeta) SEQ ID NO: 4MLLLVTSLLLCELPHPAFLLIPQVQLQESGPGLVKPSETLSLTCTVSGGSISSSSYYWGWIRQPPGKGLEWIGSIYYSGSTYYNPSLKSRVTIPVDTSKNQFSLKLSSVTAADTAVYYCARHLGGDAFDIWGQGTTVTVSSGGGGSGGGGSGGGGSLPVLTQPPSVSVAPGQTARITCGGNNIGSKSVHWYQQKPGQAPVLVVYDDSDRPSGIPERFSGSNSGNTATLTISGTQAMDEADYFCQSYDSSNPVVFGGGTQLTVLAAATTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYIWAPLAGTCGVLLLSLVITLYCKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPRROR1-CAR DNA SEQ LTG2528 (LP-ScFV4-IgG4H/CD8TM-41BB-CD3 zeta)SEQ ID NO: 5ATGCTGCTGCTGGTGACCAGCCTGCTGCTGTGCGAACTGCCGCATCCGGCGTTTCTGCTGATTCCGCAAGTTCAGCTGCAAGAATCAGGACCTGGGCTTGTCAAACCATCTGAAACCCTCAGCTTGACTTGTACCGTATCAGGAGGGTCAATTTCAAGCTCATCCTACTATTGGGGATGGATCAGACAACCACCCGGGAAAGGGCTCGAGTGGATAGGGTCCATATATTACAGCGGATCTACATACTACAACCCGTCATTGAAGTCCAGGGTAACGATTCCGGTGGACACTAGCAAGAATCAGTTTAGCCTCAAGTTGAGCAGTGTAACTGCTGCGGACACGGCGGTATATTATTGTGCTCGACACCTCGGTGGAGATGCTTTTGACATATGGGGTCAAGGGACAACAGTCACCGTTAGCTCAGGTGGAGGGGGTAGCGGGGGGGGCGGATCTGGGGGAGGCGGTTCATTGCCCGTACTTACACAGCCACCCTCTGTCAGCGTCGCACCTGGACAAACCGCTCGCATCACCTGTGGCGGAAATAATATAGGTTCCAAGTCTGTTCATTGGTATCAGCAGAAACCGGGACAGGCCCCCGTCCTTGTGGTGTATGATGATTCTGATAGGCCATCTGGTATCCCAGAACGGTTTTCAGGTAGCAATTCAGGGAATACTGCCACTCTCACTATTAGCGGTACTCAAGCTATGGATGAGGCCGACTATTTTTGCCAGAGCTACGACTCTAGTAACCCAGTCGTGTTCGGGGGAGGGACCCAGTTGACCGTGCTGGCGGCCGCAGAGTCAAAATACGGTCCTCCGTGCCCTCCGTGTCCGATCTACATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAAGAGGGGCCGGAAGAAGCTGCTTTACATCTTCAAGCAGCCGTTCATGCGGCCCGTGCAGACGACTCAGGAAGAGGACGGATGCTCGTGCAGATTCCCTGAGGAGGAAGAGGGGGGATGCGAACTGCGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATCAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGGROR1-CAR AA SEQ LTG2528 (LP-ScFV4-IgG4H/CD8TM-41BB-CD3zeta) SEQ ID NO: 6MLLLVTSLLLCELPHPAFLLIPQVQLQESGPGLVKPSETLSLTCTVSGGSISSSSYYWGWIRQPPGKGLEWIGSIYYSGSTYYNPSLKSRVTIPVDTSKNQFSLKLSSVTAADTAVYYCARHLGGDAFDIWGQGTTVTVSSGGGGSGGGGSGGGGSLPVLTQPPSVSVAPGQTARITCGGNNIGSKSVHWYQQKPGQAPVLVVYDDSDRPSGIPERFSGSNSGNTATLTISGTQAMDEADYFCQSYDSSNPVVFGGGTQLTVLAAAESKYGPPCPPCPIYIWAPLAGTCGVLLLSLVITLYCKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR Nucleotide Sequence of Anti-ROR1 binder: ScFV9 SEQ ID NO: 7CAGGCGGCCCAGGTACAGCTGCAGCAGTCAGGGGCTGAGGTGAAGAAGCCTGGGTCCTCGGTGAAGGTCTCCTGCAAGGCTTCTGGAGGCACCTTCAGCAGCTATGCTATCAGCTGGGTGCGACAGGCCCCTGGACAAGGGCTTGAGTGGATGGGATGGATCAACCCTAACAGTGGTGGCACAAACTATGCACAGAGGTTTCAGGGCAGGGTCACCATGACCAGGGACACGTCCATCAGCACAGCCTACATGGAGCTGAGCAGGCTGAGATCTGACGACACGGCCGTGTATTACTGTGCGAGTTATAATGATGCTTTTGATATCTGGGGCCAAGGCACCCTGGTCACCGTCTCCTCAGGAGGTGGCGGGTCTGGTGGTGGCGGTAGCGGTGGTGGCGGATCCAATTTTATGCTGACTCAGCCCCACTCTGTGTCGGAGTCTCCGGGGAAGACGGTAACCATCTCCTGCACCCGCAGCAGTGGCAGCATTGCCAGCAACTATGTGCAGTGGTACCAGCAGCGCCCGGGCAGTGCCCCCACCATTGTGATCTATGAGGATGATCAAAGACCCTCTGGGGTCCCTGATCGGTTCTCTGGCTCCATCGACACCTCCTCCAACTCTGCCTCCCTCACCATCTCTGGACTGCAGAGTGAGGACGAGGCTGACTACTACTGTCAGTCTTATGAGCCCGGCAATGGGGTATTCGGCGGAGGGACCAAGGTCACCGTCCTAAmino Acid Sequence of Anti-ROR1 binder: ScFV9 SEQ ID NO: 8QAAQVQLQQSGAEVKKPGSSVKVSCKASGGTFSSYAISWVRQAPGQGLEWMGWINPNSGGTNYAQRFQGRVTMTRDTSISTAYMELSRLRSDDTAVYYCASYNDAFDIWGQGTLVTVSSGGGGSGGGGSGGGGSNFMLTQPHSVSESPGKTVTISCTRSSGSIASNYVQWYQQRPGSAPTIVIYEDDQRPSGVPDRFSGSIDTSSNSASLTISGLQSEDEADYYCQSYEPGNGVFGGGTKVTVLROR1-CAR DNA SEQ LTG1942 (LP-ScFV9-CD8H/CD8TM-41BB-CD3 zeta)SEQ ID NO: 9ATGCTGCTGCTGGTGACCAGCCTGCTGCTGTGCGAACTGCCGCATCCGGCGTTTCTGCTGATTCCGCAGGCGGCCCAGGTACAGCTGCAGCAGTCAGGGGCTGAGGTGAAGAAGCCTGGGTCCTCGGTGAAGGTCTCCTGCAAGGCTTCTGGAGGCACCTTCAGCAGCTATGCTATCAGCTGGGTGCGACAGGCCCCTGGACAAGGGCTTGAGTGGATGGGATGGATCAACCCTAACAGTGGTGGCACAAACTATGCACAGAGGTTTCAGGGCAGGGTCACCATGACCAGGGACACGTCCATCAGCACAGCCTACATGGAGCTGAGCAGGCTGAGATCTGACGACACGGCCGTGTATTACTGTGCGAGTTATAATGATGCTTTTGATATCTGGGGCCAAGGCACCCTGGTCACCGTCTCCTCAGGAGGTGGCGGGTCTGGTGGTGGCGGTAGCGGTGGTGGCGGATCCAATTTTATGCTGACTCAGCCCCACTCTGTGTCGGAGTCTCCGGGGAAGACGGTAACCATCTCCTGCACCCGCAGCAGTGGCAGCATTGCCAGCAACTATGTGCAGTGGTACCAGCAGCGCCCGGGCAGTGCCCCCACCATTGTGATCTATGAGGATGATCAAAGACCCTCTGGGGTCCCTGATCGGTTCTCTGGCTCCATCGACACCTCCTCCAACTCTGCCTCCCTCACCATCTCTGGACTGCAGAGTGAGGACGAGGCTGACTACTACTGTCAGTCTTATGAGCCCGGCAATGGGGTATTCGGCGGAGGGACCAAGGTCACCGTCCTAGCGGCCGCAACTACCACCCCTGCCCCTCGGCCGCCGACTCCGGCCCCAACCATCGCAAGCCAACCCCTCTCCTTGCGCCCCGAAGCTTGCCGCCCGGCCGCGGGTGGAGCCGTGCATACCCGGGGGCTGGACTTTGCCTGCGATATCTACATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAAGAGGGGCCGGAAGAAGCTGCTTTACATCTTCAAGCAGCCGTTCATGCGGCCCGTGCAGACGACTCAGGAAGAGGACGGATGCTCGTGCAGATTCCCTGAGGAGGAAGAGGGGGGATGCGAACTGCGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATCAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGGROR1-CAR AA SEQ LTG1942 (LP-ScFV9-CD8H/CD8TM-41BB-CD3 zeta)SEQ ID NO: 10MLLLVTSLLLCELPHPAFLLIPQAAQVQLQQSGAEVKKPGSSVKVSCKASGGTFSSYAISWVRQAPGQGLEWMGWINPNSGGTNYAQRFQGRVTMTRDTSISTAYMELSRLRSDDTAVYYCASYNDAFDIWGQGTLVTVSSGGGGSGGGGSGGGGSNFMLTQPHSVSESPGKTVTISCTRSSGSIASNYVQWYQQRPGSAPTIVIYEDDQRPSGVPDRFSGSIDTSSNSASLTISGLQSEDEADYYCQSYEPGNGVFGGGTKVTVLAAATTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYIWAPLAGTCGVLLLSLVITLYCKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPRROR1-CAR DNA SEQ LTG2529 (LP-ScFV9-IgG4H/CD8TM-41BB-CD3 zeta)SEQ ID NO: 11ATGCTGCTGCTGGTGACCAGCCTGCTGCTGTGCGAACTGCCGCATCCGGCGTTTCTGCTGATTCCGCAGGCGGCCCAGGTACAGCTGCAGCAGTCAGGGGCTGAGGTGAAGAAGCCTGGGTCCTCGGTGAAGGTCTCCTGCAAGGCTTCTGGAGGCACCTTCAGCAGCTATGCTATCAGCTGGGTGCGACAGGCCCCTGGACAAGGGCTTGAGTGGATGGGATGGATCAACCCTAACAGTGGTGGCACAAACTATGCACAGAGGTTTCAGGGCAGGGTCACCATGACCAGGGACACGTCCATCAGCACAGCCTACATGGAGCTGAGCAGGCTGAGATCTGACGACACGGCCGTGTATTACTGTGCGAGTTATAATGATGCTTTTGATATCTGGGGCCAAGGCACCCTGGTCACCGTCTCCTCAGGAGGTGGCGGGTCTGGTGGTGGCGGTAGCGGTGGTGGCGGATCCAATTTTATGCTGACTCAGCCCCACTCTGTGTCGGAGTCTCCGGGGAAGACGGTAACCATCTCCTGCACCCGCAGCAGTGGCAGCATTGCCAGCAACTATGTGCAGTGGTACCAGCAGCGCCCGGGCAGTGCCCCCACCATTGTGATCTATGAGGATGATCAAAGACCCTCTGGGGTCCCTGATCGGTTCTCTGGCTCCATCGACACCTCCTCCAACTCTGCCTCCCTCACCATCTCTGGACTGCAGAGTGAGGACGAGGCTGACTACTACTGTCAGTCTTATGAGCCCGGCAATGGGGTATTCGGCGGAGGGACCAAGGTCACCGTCCTAGCGGCCGCAGAGTCAAAATACGGTCCTCCGTGCCCTCCGTGTCCGATCTACATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAAGAGGGGCCGGAAGAAGCTGCTTTACATCTTCAAGCAGCCGTTCATGCGGCCCGTGCAGACGACTCAGGAAGAGGACGGATGCTCGTGCAGATTCCCTGAGGAGGAAGAGGGGGGATGCGAACTGCGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATCAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGGROR1-CAR AA SEQ LTG2529 (LP-ScFV9-IgG4H/CD8TM-41BB-CD3 zeta)SEQ ID NO: 12MLLLVTSLLLCELPHPAFLLIPQAAQVQLQQSGAEVKKPGSSVKVSCKASGGTFSSYAISWVRQAPGQGLEWMGWINPNSGGTNYAQRFQGRVTMTRDTSISTAYMELSRLRSDDTAVYYCASYNDAFDIWGQGTLVTVSSGGGGSGGGGSGGGGSNFMLTQPHSVSESPGKTVTISCTRSSGSIASNYVQWYQQRPGSAPTIVIYEDDQRPSGVPDRFSGSIDTSSNSASLTISGLQSEDEADYYCQSYEPGNGVFGGGTKVTVLAAAESKYGPPCPPCPIYIWAPLAGTCGVLLLSLVITLYCKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR Nucleotide Sequence of CONTROL ANTI-ROR1 binder: SEQ ID NO: 13CAAGAACAGCTTGTAGAGTCCGGCGGTAGATTGGTGACACCGGGGGGGAGCCTTACCCTGTCTTGTAAGGCATCTGGGTTCGATTTCAGTGCGTATTATATGAGCTGGGTTCGGCAGGCGCCCGGGAAGGGGCTGGAATGGATAGCCACTATATACCCGTCATCCGGCAAGACTTACTACGCGACTTGGGTAAACGGGAGGTTTACGATAAGCTCAGATAACGCCCAAAACACGGTTGATCTCCAAATGAATAGCTTGACCGCCGCTGATAGGGCGACCTATTTCTGTGCGCGGGACTCTTACGCTGATGACGGGGCCCTCTTCAATATATGGGGACCGGGAACGCTCGTAACCATATCATCTGGAGGAGGTGGGAGCGGAGGCGGAGGGTCAGGTGGGGGCGGGAGCGAACTCGTACTTACACAATCTCCAAGCGTAAGCGCAGCGTTGGGGAGTCCAGCAAAGATCACCTGCACTTTGTCAAGCGCCCACAAAACGGATACGATAGATTGGTATCAGCAACTCCAAGGTGAAGCGCCACGATATCTCATGCAGGTACAGAGCGACGGGAGTTATACTAAGAGGCCCGGGGTCCCAGACAGATTCAGTGGCAGCAGTTCAGGTGCCGACAGATACCTGATAATACCCTCAGTTCAAGCCGATGATGAAGCCGATTACTACTGTGGGGCTGACTACATAGGTGGGTATGTTTTCGGGGGCGGCACTCAATTGACAGTTACAGGGAmino Acid Sequence of CONTROL ANTI-ROR1 binder: SEQ ID NO: 14QEQLVESGGRLVTPGGSLTLSCKASGFDFSAYYMSWVRQAPGKGLEWIATIYPSSGKTYYATWVNGRFTISSDNAQNTVDLQMNSLTAADRATYFCARDSYADDGALFNIWGPGTLVTISSGGGGSGGGGSGGGGSELVLTQSPSVSAALGSPAKITCTLSSAHKTDTIDWYQQLQGEAPRYLMQVQSDGSYTKRPGVPDRFSGSSSGADRYLIIPSVQADDEADYYCGADYIGGYVFGGGTQLTVTGROR1-CAR DNA SEQ CONTROL LTG1943 (LP-ControlScFv-CD8H/CD8TM-41BB-CD3 zeta)SEQ ID NO: 15ATGCTGCTGCTGGTGACCAGCCTGCTGCTGTGCGAACTGCCGCATCCGGCGTTTCTGCTGATTCCGCAAGAACAGCTTGTAGAGTCCGGCGGTAGATTGGTGACACCGGGGGGGAGCCTTACCCTGTCTTGTAAGGCATCTGGGTTCGATTTCAGTGCGTATTATATGAGCTGGGTTCGGCAGGCGCCCGGGAAGGGGCTGGAATGGATAGCCACTATATACCCGTCATCCGGCAAGACTTACTACGCGACTTGGGTAAACGGGAGGTTTACGATAAGCTCAGATAACGCCCAAAACACGGTTGATCTCCAAATGAATAGCTTGACCGCCGCTGATAGGGCGACCTATTTCTGTGCGCGGGACTCTTACGCTGATGACGGGGCCCTCTTCAATATATGGGGACCGGGAACGCTCGTAACCATATCATCTGGAGGAGGTGGGAGCGGAGGCGGAGGGTCAGGTGGGGGCGGGAGCGAACTCGTACTTACACAATCTCCAAGCGTAAGCGCAGCGTTGGGGAGTCCAGCAAAGATCACCTGCACTTTGTCAAGCGCCCACAAAACGGATACGATAGATTGGTATCAGCAACTCCAAGGTGAAGCGCCACGATATCTCATGCAGGTACAGAGCGACGGGAGTTATACTAAGAGGCCCGGGGTCCCAGACAGATTCAGTGGCAGCAGTTCAGGTGCCGACAGATACCTGATAATACCCTCAGTTCAAGCCGATGATGAAGCCGATTACTACTGTGGGGCTGACTACATAGGTGGGTATGTTTTCGGGGGCGGCACTCAATTGACAGTTACAGGGGCGGCCGCAACTACCACCCCTGCCCCTCGGCCGCCGACTCCGGCCCCAACCATCGCAAGCCAACCCCTCTCCTTGCGCCCCGAAGCTTGCCGCCCGGCCGCGGGTGGAGCCGTGCATACCCGGGGGCTGGACTTTGCCTGCGATATCTACATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAAGAGGGGCCGGAAGAAGCTGCTTTACATCTTCAAGCAGCCGTTCATGCGGCCCGTGCAGACGACTCAGGAAGAGGACGGATGCTCGTGCAGATTCCCTGAGGAGGAAGAGGGGGGATGCGAACTGCGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATCAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGGROR1-CAR AA SEQ CONTROL LTG1943 (LP-ControlScFv-CD8H/CD8TM-41BB-CD3zeta)SEQ ID NO: 16MLLLVTSLLLCELPHPAFLLIPQEQLVESGGRLVTPGGSLTLSCKASGFDFSAYYMSWVRQAPGKGLEWIATIYPSSGKTYYATWVNGRFTISSDNAQNTVDLQMNSLTAADRATYFCARDSYADDGALFNIWGPGTLVTISSGGGGSGGGGSGGGGSELVLTQSPSVSAALGSPAKITCTLSSAHKTDTIDWYQQLQGEAPRYLMQVQSDGSYTKRPGVPDRFSGSSSGADRYLIIPSVQADDEADYYCGADYIGGYVFGGGTQLTVTGAAATTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYIWAPLAGTCGVLLLSLVITLYCKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPRROR1-CAR DNA SEQ CONTROL LTG2527 (LP-ControlScFv-IgG4H/CD8TM-41BB-CD3zeta)SEQ ID NO: 17ATGCTGCTGCTGGTGACCAGCCTGCTGCTGTGCGAACTGCCGCATCCGGCGTTTCTGCTGATTCCGCAAGAACAGCTTGTAGAGTCCGGCGGTAGATTGGTGACACCGGGGGGGAGCCTTACCCTGTCTTGTAAGGCATCTGGGTTCGATTTCAGTGCGTATTATATGAGCTGGGTTCGGCAGGCGCCCGGGAAGGGGCTGGAATGGATAGCCACTATATACCCGTCATCCGGCAAGACTTACTACGCGACTTGGGTAAACGGGAGGTTTACGATAAGCTCAGATAACGCCCAAAACACGGTTGATCTCCAAATGAATAGCTTGACCGCCGCTGATAGGGCGACCTATTTCTGTGCGCGGGACTCTTACGCTGATGACGGGGCCCTCTTCAATATATGGGGACCGGGAACGCTCGTAACCATATCATCTGGAGGAGGTGGGAGCGGAGGCGGAGGGTCAGGTGGGGGCGGGAGCGAACTCGTACTTACACAATCTCCAAGCGTAAGCGCAGCGTTGGGGAGTCCAGCAAAGATCACCTGCACTTTGTCAAGCGCCCACAAAACGGATACGATAGATTGGTATCAGCAACTCCAAGGTGAAGCGCCACGATATCTCATGCAGGTACAGAGCGACGGGAGTTATACTAAGAGGCCCGGGGTCCCAGACAGATTCAGTGGCAGCAGTTCAGGTGCCGACAGATACCTGATAATACCCTCAGTTCAAGCCGATGATGAAGCCGATTACTACTGTGGGGCTGACTACATAGGTGGGTATGTTTTCGGGGGCGGCACTCAATTGACAGTTACAGGGGCGGCCGCAGAGTCAAAATACGGTCCTCCGTGCCCTCCGTGTCCGATCTACATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAAGAGGGGCCGGAAGAAGCTGCTTTACATCTTCAAGCAGCCGTTCATGCGGCCCGTGCAGACGACTCAGGAAGAGGACGGATGCTCGTGCAGATTCCCTGAGGAGGAAGAGGGGGGATGCGAACTGCGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATCAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGGROR1-CAR AA SEQ CONTROL LTG2527 (LP-ControlScFv-IgG4H/CD8TM-41BB-CD3zeta)SEQ ID NO: 18MLLLVTSLLLCELPHPAFLLIPQEQLVESGGRLVTPGGSLTLSCKASGFDFSAYYMSWVRQAPGKGLEWIATIYPSSGKTYYATWVNGRFTISSDNAQNTVDLQMNSLTAADRATYFCARDSYADDGALFNIWGPGTLVTISSGGGGSGGGGSGGGGSELVLTQSPSVSAALGSPAKITCTLSSAHKTDTIDWYQQLQGEAPRYLMQVQSDGSYTKRPGVPDRFSGSSSGADRYLIIPSVQADDEADYYCGADYIGGYVFGGGTQLTVTGAAAESKYGPPCPPCPIYIWAPLAGTCGVLLLSLVITLYCKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR Nucleotide Sequence of leader/signal peptide sequence (LP)SEQ ID NO: 19ATGCTGCTGCTGGTGACCAGCCTGCTGCTGTGCGAACTGCCGCATCCGGCGTTTCTGCTGATTCCGAmino Acid sequence of leader/signal peptide sequence (LP) SEQ ID NO: 20MLLLVTSLLLCELPHPAFLLIPNucleotide Sequence of DNA CD8 transmembrane domain SEQ ID NO: 21ATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAmino Acid Sequence of CD8 transmembrane domain SEQ ID NO: 22IWAPLAGTCGVLLLSLVITLYC Nucleotide Sequence of DNA CD8 hinge domainSEQ ID NO: 23ACTACCACCCCTGCCCCTCGGCCGCCGACTCCGGCCCCAACCATCGCAAGCCAACCCCTCTCCTTGCGCCCCGAAGCTTGCCGCCCGGCCGCGGGTGGAGCCGTGCATACCCGGGGGCTGGACTTTGCCTGCGATATCTACAmino Acid Sequence of CD8 hinge domain SEQ ID NO: 24TTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYAmino Acid Sequence of amino acid numbers 137 TO 206 hinge andtransmembrane region of CD8.alpha. (NCBI REFSEQ: NP.SUB.--001759.3)SEQ ID NO: 25TTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYIWAPLAGTCGVLLLSLVITLYCNucleotide Sequence of signaling domain of 4-1BB SEQ ID NO: 26AAGAGGGGCCGGAAGAAGCTGCTTTACATCTTCAAGCAGCCGTTCATGCGGCCCGTGCAGACGACTCAGGAAGAGGACGGATGCTCGTGCAGATTCCCTGAGGAGGAAGAGGGGGGATGCGAACTGAmino Acid Sequence of signaling domain of 4-1BB SEQ ID NO: 27KRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELNucleotide Sequence of intracellular signaling domain of CD3-zetaSEQ ID NO: 28CGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATCAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGG Amino Acid sequence of CD3-zetaSEQ ID NO: 29RVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPRNucleotide Sequence of intracellular signaling domain of CD3-zeta, variantSEQ ID NO: 30CGCGTCAAGTTCTCACGGTCCGCCGACGCCCCCGCATATAAACAGGGCCAGAATCAGCTCTACAACGAGCTGAACCTGGGAAGGAGAGAGGAGTACGACGTGCTGGACAAGCGACGCGGACGCGACCCGGAGATGGGGGGGAAACCACGGCGGAAAAACCCTCAGGAAGGACTGTACAACGAACTCCAGAAAGACAAGATGGCGGAAGCCTACTCAGAAATCGGGATGAAGGGAGAGCGGAGGAGGGGAAAGGGTCACGACGGGCTGTACCAGGGACTGAGCACCGCCACTAAGGATACCTACGATGCCTTGCATATGCAAGCACTCCCACCCCGGAmino Acid Sequence of CD3-zeta signaling domain, variant SEQ ID NO: 31RVKFSRSADAPAYKQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPRNucleotide Sequence of ScFVCD19 (FMC63) SEQ ID NO: 32GACATTCAGATGACTCAGACCACCTCTTCCTTGTCCGCGTCACTGGGAGACAGAGTGACCATCTCGTGTCGCGCAAGCCAGGATATCTCCAAGTACCTGAACTGGTACCAACAGAAGCCCGACGGGACTGTGAAGCTGCTGATCTACCACACCTCACGCCTGCACAGCGGAGTGCCAAGCAGATTCTCCGGCTCCGGCTCGGGAACCGATTACTCGCTTACCATTAGCAACCTCGAGCAGGAGGACATCGCTACCTACTTCTGCCAGCAAGGAAATACCCTGCCCTACACCTTCGGCGGAGGAACCAAATTGGAAATCACCGGCGGAGGAGGCTCCGGGGGAGGAGGTTCCGGGGGCGGGGGTTCCGAAGTGAAGCTCCAGGAGTCCGGCCCCGGCCTGGTGGCGCCGTCGCAATCACTCTCTGTGACCTGTACCGTGTCGGGAGTGTCCCTGCCTGATTACGGCGTGAGCTGGATTCGGCAGCCGCCGCGGAAGGGCCTGGAATGGCTGGGTGTCATCTGGGGATCCGAGACTACCTACTACAACTCGGCCCTGAAGTCCCGCCTGACTATCATCAAAGACAACTCGAAGTCCCAGGTCTTTCTGAAGATGAACTCCCTGCAAACTGACGACACCGCCATCTATTACTGTGCTAAGCACTACTACTACGGTGGAAGCTATGCTATGGACTACTGGGGGCAAGGCACTTCGGTGACTGTGTCAAGCAmino Acid Sequence of ScFVCD19 (FMC63) SEQ ID NO: 33DIQMTQTTSSLSASLGDRVTISCRASQDISKYLNWYQQKPDGTVKLLIYHTSRLHSGVPSRFSGSGSGTDYSLTISNLEQEDIATYFCQQGNTLPYTFGGGTKLEITGGGGSGGGGSGGGGSEVKLQESGPGLVAPSQSLSVTCTVSGVSLPDYGVSWIRQPPRKGLEWLGVIWGSETTYYNSALKSRLTIIKDNSKSQVFLKMNSLQTDDTAIYYCAKHYYYGGSYAMDYWGQGTSVTVSS Nucleotide Sequence of anti-CD33 ScFV (LTG1936)SEQ ID NO: 34CAGGTGCAGCTGGTGCAATCTGGGGCAGAGGTGAAAAAGCCCGGGGAGTCTCTGAGGATCTCCTGTAAGGGTTCTGGATTCAGTTTTCCCACCTACTGGATCGGCTGGGTGCGCCAGATGCCCGGGAAAGGCCTGGAGTGGATGGGGATCATCTATCCTGGTGACTCTGATACCAGATACAGCCCGTCCTTCCAAGGCCAGGTCACCATCTCAGCCGACAAGTCCATCAGCACCGCCTACCTGCAGTGGAGCAGCCTGAAGGCCTCGGACACCGCCATGTATTACTGTGCGAGACTAGTTGGAGATGGCTACAATACGGGGGCTTTTGATATCTGGGGCCAAGGGACAATGGTCACCGTCTCTTCAGGAGGTGGCGGGTCTGGTGGTGGCGGTAGCGGTGGTGGCGGATCCGATATTGTGATGACCCACACTCCACTCTCTCTGTCCGTCACCCCTGGACAGCCGGCCTCCATCTCCTGCAAGTCTAGTCAGAGCCTCCTGCATAGTAATGGAAAGACCTATTTGTATTGGTACCTGCAGAAGCCAGGCCAGCCTCCACAGCTCCTGATCTATGGAGCTTCCAACCGGTTCTCTGGAGTGCCAGACAGGTTCAGTGGCAGCGGGTCAGGGACAGATTTCACACTGAAAATCAGCCGGGTGGAGGCTGAGGATGTTGGGGTTTATTACTGCATGCAAAGTATACAGCTTCCTATCACCTTCGGCCAAGGGACACGACTGGAGATTAAAAmino Acid sequence of anti-CD33 ScFV (LTG1936) SEQ ID NO: 35QVQLVQSGAEVKKPGESLRISCKGSGFSFPTYWIGWVRQMPGKGLEWMGITYPGDSDTRYSPSFQGQVTISADKSISTAYLQWSSLKASDTAMYYCARLVGDGYNTGAFDIWGQGTMVTVSSGGGGSGGGGSGGGGSDIVMTHTPLSLSVTPGQPASISCKSSQSLLHSNGKTYLYWYLQKPGQPPQLLIYGASNRFSGVPDRFSGSGSGTDFTLKISRVEAEDVGVYYCMQSIQLPITFGQGTRLEIKNucleotide Sequence of anti-mesothelin ScFV (LTG1904) SEQ ID NO: 36GAGGTCCAGCTGGTACAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCTTTGATGATTATGCCATGCACTGGGTCCGGCAAGCTCCAGGGAAGGGCCTGGAGTGGGTCTCAGGTATTAGTTGGAATAGTGGTAGCATAGGCTATGCGGACTCTGTGAAGGGCCGATTCACCATCTCCAGAGACAACGCCAAGAACTCCCTGTATCTGCAAATGAACAGTCTGAGAGCTGAGGACACGGCCTTGTATTACTGTGCAAAAGATTTATCGTCAGTGGCTGGACCCTTTAACTACTGGGGCCAGGGCACCCTGGTCACCGTCTCCTCAGGAGGTGGCGGGTCTGGTGGAGGCGGTAGCGGCGGTGGCGGATCCTCTTCTGAGCTGACTCAGGACCCTGCTGTGTCTGTGGCCTTGGGACAGACAGTCAGGATCACATGCCAAGGAGACAGCCTCAGAAGCTATTATGCAAGCTGGTACCAGCAGAAGCCAGGACAGGCCCCTGTACTTGTCATCTATGGTAAAAACAACCGGCCCTCAGGGATCCCAGACCGATTCTCTGGCTCCAGCTCAGGAAACACAGCTTCCTTGACCATCACTGGGGCTCAGGCGGAGGATGAGGCTGACTATTACTGTAACTCCCGGGACAGCAGTGGTAACCATCTGGTATTCGGCGGAGGCACCCAGCTGACCGTCCTCGGTAmino Acid sequence of anti-mesothelin ScFV (LTG1904) SEQ ID NO: 37EVQLVQSGGGLVQPGGSLRLSCAASGFTFDDYAMHWVRQAPGKGLEWVSGISWNSGSIGYADSVKGRFTISRDNAKNSLYLQMNSLRAEDTALYYCAKDLSSVAGPFNYWGQGTLVTVSSGGGGSGGGGSGGGGSSSELTQDPAVSVALGQTVRITCQGDSLRSYYASWYQQKPGQAPVLVIYGKNNRPSGIPDRFSGSSSGNTASLTITGAQAEDEADYYCNSRDSSGNHLVFGGGTQLTVLG Nucleotide Sequence of IgG4H (hinge) SEQ ID NO: 38GAGTCAAAATACGGTCCTCCGTGCCCTCCGTGTCCGAmino Acid Sequence of IgG4H (hinge) SEQ ID NO: 39 ESKYGPPCPPCPNucleotide Sequence of hinge domain of IgG4H linked to CD8 TMSEQ ID NO: 40 (transmembrane)GAGTCAAAATACGGTCCTCCGTGCCCTCCGTGTCCGATCTACATTTGGGCCCCGCTGGCCGGCACTTGCGGCGTGCTCCTGCTGTCGCTGGTCATCACCCTTTACTGCAmino Acid Sequence of hinge domain of IgG4H linked to CD8 TM(transmembrane) SEQ ID NO: 41 ESKYGPPCPPCPIYIWAPLAGTCGVLLLSLVITLYC

What is claimed is:
 1. An isolated nucleic acid molecule encoding achimeric antigen receptor (CAR) comprising at least one extracellularantigen binding domain comprising a ROR1 antigen binding domain encodedby a nucleotide sequence comprising SEQ ID NO: 1, or SEQ ID NO: 7, atransmembrane domain comprising CD8 transmembrane domain, anintracellular signaling domain comprising a functional signaling domainof 4-1BB and a CD3 zeta intracellular domain.
 2. A vector comprising anucleic acid molecule of claim
 1. 3. The vector of claim 2, wherein thevector is selected from the group consisting of a DNA vector, an RNAvector, a plasmid vector, a cosmid vector, a herpes virus vector, ameasles virus vector, a lentivirus vector, adenoviral vector, or aretrovirus vector, or a combination thereof.
 4. A cell comprising thevector of claim
 2. 5. A pharmaceutical composition comprising ananti-cancer effective amount of a population of human T cellsgenetically modified to express on their surface a chimeric antigenreceptor (CAR), wherein the T cells comprise a nucleic acid sequencethat encodes the CAR, wherein the CAR comprises at least oneextracellular antigen binding domain comprising a ROR1 antigen bindingdomain comprising the amino acid sequence of SEQ ID NO. 2, or 8, alinker domain derived from the extracellular domain of IgG4 or CD8, atransmembrane domain comprising CD8 transmembrane domain, anintracellular signaling domain comprising a functional signaling domainof 4-1BB and a CD3 zeta intracellular domain, and wherein the T cellsare T cells of a human having a ROR-1 expressing cancer.
 6. A method oftreating a receptor tyrosine kinase-like orphan receptor 1 (ROR-1)expressing cancer in a subject in need thereof, the method comprisingadministering to the subject a pharmaceutical composition comprising ananti-cancer effective amount of a population of human T cellsgenetically modified to express on their surface a chimeric antigenreceptor (CAR), wherein the T cells comprise a nucleic acid sequencethat encodes the CAR, wherein the CAR comprises at least oneextracellular antigen binding domain comprising a ROR1 antigen bindingdomain comprising the amino acid sequence of SEQ ID NO. 2, or 8, alinker or spacer domain derived from the extracellular domain of IgG4 orCD8, a transmembrane domain comprising CD8 transmembrane domain, anintracellular signaling domain comprising a functional signaling domainof 4-1BB and a CD3 zeta intracellular domain, wherein the T cells are Tcells of the subject having the ROR-1 expressing cancer.
 7. The methodof claim 6, wherein the extracellular ROR1 antigen binding domain ispreceded by a leader nucleotide sequence encoding a leader peptide. 8.The method of claim 6, wherein the nucleic acid sequence encoding theextracellular ROR1 antigen binding domain comprises a nucleic sequencecomprising SEQ ID NO: 1 or
 7. 9. The method of claim 6, wherein theROR-1 expressing cancer is a hematological cancer.
 10. The method ofclaim 9, wherein the hematological cancer is leukemia, lymphoma, ormultiple myeloma.
 11. The method of claim 10, wherein the leukemia ischronic lymphocytic leukemia (CLL), acute lymphocytic leukemia (ALL), orchronic myelogenous leukemia (CIVIL).
 12. The method of claim 10,wherein the lymphoma is mantle cell lymphoma, non-Hodgkin's lymphoma orHodgkin's lymphoma.
 13. The method of claim 6, wherein theROR-expressing cancer is an adult carcinoma selected from the groupconsisting of an oral and pharynx cancer, digestive system cancers,respiratory system cancers, bones and joint cancers, soft tissuecancers, skin cancers, pediatric tumors, tumors of the central nervoussystem, cancers of the breast, the genital system, the urinary system,the eye and orbit, the endocrine system, and the brain and other nervoussystem, or any combination thereof.